Groom's Information Groom's Legal Name (First Middle Last) Groom's Street Address Groom's City Groom's State - Select -Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Groom's Zip Code How long have you lived at this address (in months)? Groom's Phone Number Groom's Email Groom's Date of Birth City of Groom's Birth State of Groom's Birth Groom's Age Groom's Occupation Groom's Father's Name Father's Religion Groom's Mother's (Maiden) Name Mother's Religion Groom's Parent's Address (Street Address, City, State, Zip) Has the groom been baptized Catholic or any other Christian denomination? - Select -Yes No Christian Denomination (ie: Catholic) Church of Groom's baptism City/State of the Church where the Groom was baptized Date of Groom's Baptism Is the Groom registered at Prince of Peace? - Select -Yes No If the Groom is Catholic but not registered at Prince of Peace, please list the Groom's Present Catholic Parish Has the Groom been previously married? - Select -Yes No If yes, how many times? Was an Annulment/Defect granted? - Select -YesNo Diocese that granted the Annulment/Defect? Case Number Date Annulment/Defect was granted? Does the groom have any children? - Select -Yes No How many children? Bride's Information Bride's Legal Name (First Middle Last) Bride's Street Adress Bride's City Bride's State Bride's Zip Code How long have you lived at this address? (in months) Bride's Phone Number Bride's Email Bride's Date of Birth City of Bride's Birth State of Bride's Birth Bride's Age Bride's Occupation Bride's Father's Name Father's Religion Bride's Mother's (maiden) name Mother's Religion Bride's Parent's Address (Street Address, City, State, Zip) Has the Bride been baptized Catholic or any other Christian denomination? - Select -Yes No Christian Denomination (ie: Catholic) Church of Bride's baptism Date of Bride's Baptism City/State of the Church where the Bride was baptized Is the Bride registered at Prince of Peace? - Select -Yes No If the Bride is Catholic but not registered at Prince of Peace, please list the Bride's Present Catholic Parish Has the Bride been previously married? - Select -Yes No Was an Annulment/Defect granted? - Select -YesNo Diocese that granted the Annulment/Defect? Case Number Date Annulment/Defect was granted? Does the Bride have any children? - Select -Yes No How many children? How long have you known each other? (in months) How long have you been engaged? (in months) I understand that a $150 non-refundable deposit is required to book your wedding date. Check should be payable to Prince of Peace. Yes I understand that a $150 non-refundable booking fee is required for each date change. Check should be payable to Prince of Peace. Yes Any questions or additional information? CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
