Marriage Preparation

Today's Date *

Date

Ceremony Language

English

Are you currently married to each other? *

Yes No

If "yes", who performed the ceremony?

Groom's Full Name *

First Name Middle Name Last Name

Name and Location of Current Parish *

Date of Birth *

Month Day Year

Place of Birth *

Home Address *

Street Address

Street Address Line 2

City State

Zip Code

Home Phone *

Area Code Phone Number

Mobile *

Area Code Phone Number

E-mail *

Confirmation Email

Are you Catholic? *

Yes No

How long have you known your fiancée? *

Have you been married before? *

Yes No

If "yes", how many times in a Civil Ceremony?

If "yes", how many times in a Catholic Ceremony?

If "yes", how many times in other types of ceremonies? Please be specific.

Final Outcomes (select all that apply)

Divorce Decree of Annulment Death

Which of the following sacraments have you received? (select all that apply) *

Baptism Confirmation Eucharist

Groom's Information