Wedding Day Questionnaire Form

Wedding Day Questionnaire

Weddings on Location
Contact Name*

First NameLast Name
Are you one of the parties getting married?

Yes
Contact Phone Number*

Area CodePhone Number
Is this number also the number for one of the spouses?

Yes
Contact e-mail address*
example@example.com
Spouse #1 Name*

First NameLast Name
Spouse #1 Contact Number*

Area CodePhone Number
Spouse #2 Name*

First NameLast Name
Spouse #2 Contact Number*

Area CodePhone Number
Wedding Date*

MonthDayYear
DateHourMinutesAM/PM Option
Venue location*

If a business, please insert business name here.

Street Address Line 2

CityState / Province

Postal / Zip Code
Ceremony Options:

Unity Candle (you must provide candles)Sand Ceremony (you must provide sand and bottles)Unity Cross (you must provide unity cross)Knot Tieing Ceremony (you must provide ropes)Mother's Rose Ceremony (you must provide flowers)Blessing of the HandsReaders for Ceremony **if so, please answer next question.
If you are having loved ones read at your ceremony, please let me know who will be reading. If multiple readers, please list them in order of their readings. If you're not sure yet, you can let me know later.
If you aren't sure of who will be reading yet, just type TBA.
Are rings being exchanged?*

YesNo
Lagniappe! What else can I include to make your ceremony special? *If there is something special you would like me to read or a family tradtion you would like to incorporate, please let me know here.
.
I always ask for a picture with you and your new spouse. Will you allow me to share this pic on my website or social media?*

YesNo
How did you hear about me?*

I attended one of your wedding ceremonies.Referred by a friend.Clerk of Court list.Internet search.Facebook search.Other
You must obtain the marriage license from the Clerk of Court office in the parish courthouse at least 24 hours before the officiation of the ceremony. Your marriage license is good for 30 days. For more information, please visit https://stlandry.org/licenses-documents/marriage-licenses.*

I understand
A $50.00 deposit is required to confirm your ceremony date and time. Deposit is non-refundable.*

I understand
CANCELLATION POLICY - Once you have a ceremony booked with me, it means that I have reserved time in my schedule exclusively for you. Please cancel 14 days prior to wedding date. Once I make a trip to the venue, full fee is due.*

I understand
CHANGE POLICY - Changes regarding date, time, or location will be subject to a $50.00 change fee. All changes are approved BASED ON AVAILABILITY. Changes must be submitted in writing or via email to notary.jp@karenqsmith.com.*

I understand
If ceremony requires travel, full fee is due once a trip is made to venue.*

I understand
Ceremonies are expected to begin at scheduled time. There will be an addtional charge for ceremonies that begin late. $25+ will be charged for weddings starting 10 minutes or more late.*

I understand
Additional Contact Information Day of Wedding (Other than bride or groom):*

First NameLast Name
Phone Number*

Area CodePhone Number
Please feel free to contact Karen at notary.jp@karenqsmith.com or phone 337.852.1705 if you have any additional questions. I'm looking forward to working with you!
I attest to the accuracy of the information I have provided above. I understand the policies as stated.

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