Wedding Intake Form

Groom's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Home Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Religion REQUIRED Catholic Non-Catholic Christian Non-Christian No Religion Please fill out this field.

Date of Baptism REQUIRED Please fill out this field. Please enter valid data.

Church of Baptism REQUIRED Please fill out this field. Please enter valid data.

Date of Confirmation REQUIRED Please fill out this field. Please enter valid data.

Church of Confirmation REQUIRED Please fill out this field. Please enter valid data.

Registered in a Catholic Parish? REQUIRED YES NO Please fill out this field.

If yes, name of Church & Address Please enter valid data.

Married Before? REQUIRED YES NO Please fill out this field.

Father's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Name (Include Maiden Name) REQUIRED Please fill out this field. Please enter valid data.

Best Man Please enter valid data.

Bride's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Home Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Religion REQUIRED Catholic Non-Catholic Christian Non-Christian No Religion Please fill out this field.

Date of Baptism REQUIRED Please fill out this field. Please enter valid data.

Church of Baptism REQUIRED Please fill out this field. Please enter valid data.

Date of Confirmation REQUIRED Please fill out this field. Please enter valid data.

Church of Confirmation REQUIRED Please fill out this field. Please enter valid data.

Registered in a Parish? REQUIRED YES NO Please fill out this field.

If yes, name of Church & Address: Please enter valid data.

Married Before? REQUIRED YES NO Please fill out this field.

Father's Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Name (Include Maiden Name) REQUIRED Please fill out this field. Please enter valid data.

Maid of Honor Please enter valid data.

General

Wedding Date Preferred Please enter valid data.

Location Preferred: REQUIRED Saint Ann Church (not handicap accessible) Saint Ann Chapel Saint Mary of the Assumption Church Holy Trinity Church Other - Please Explain in the Comments Section Please fill out this field.

Comments: Please enter valid data.

SAINt Ann Roman Catholic Church

Crēscere in grātiā per Iesum Christum
"To Grow In Grace Through Jesus Christ"
"Crecer en Gracia a través de Jesucristo"

Wedding Intake Form