Marriage Convalidation Application for STA

Marriage Convalidation Application
Date of Marriage Needing Convalidation

MonthDayYear
Date
Bride
Full Name*

First NameMiddle NameLast Name
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail
Are you Catholic?*

YesNo
Are you Baptized?*

YesNo
Are you Confirmed?*

YesNo
Are you registered at the Parish?*

YesNo
Have you ever been married before?*

YesNo
If "yes" to previous. How many prior marriages?
Groom
Full Name*

First NameMiddle NameLast Name
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail
example@example.com
Are you Catholic?*

YesNo
Are you Baptized?*

YesNo
Are you Confirmed?*

YesNo
Are you registered at the Parish?*

YesNo
Have you ever been married before?*

YesNo
If "yes" to previous. How many prior marriages?
Do you have a tentative date for the wedding? If so, when?

MonthDayYear
Date
Any additional comments?
Should be Empty: