Newman Catholic Student Center Couple Information Form

Bride Information
Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number

Area CodePhone Number
Date of Birth*
College/University*
Major and Graduating Year*
Current Employment*
where, position, how long there
How long have you lived in Iowa City?
Have you been married before?*

YesNo
Regarding Church status: What is your religion?*
Have you been baptized?*

YesNo
Have you been confirmed?*

YesNo
If you are a member of another parish or congregation, name the church*
Do you consider yourself a practicing member of your church? *

YesNo
Catholics only: How often do you attend Mass?

Weekly2-3 times per monthA few times per yearNever
Name(s) of Parent(s)*
Mother's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Father's Address (if different than Mother's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Religion and Church of attendance*
Groom Information
Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home or Cell Phone*

Area CodePhone Number
E-mail*
Date of Birth*
College/University*
Major and Graduating Year*
Current Employment*
where, position, how long there
How long have you lived in Iowa City?
Have you been married before?*

YesNo
Regarding Church status: What is your religion?*
Have you been baptized?*

YesNo
Have you been confirmed?*

YesNo
If you are a member of another parish or congregation, name the church*
Do you consider yourself a practicing member of your church? *

YesNo
Catholics only: How often do you attend Mass?

Weekly2-3 times per monthA few times per yearNever
Name(s) of Parent(s)*
Mother's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Father's Address (if different than Mother's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Religion and Church of attendance*
Wedding Information
When did you get engaged?*
Wedding Date
if known
Celebrant
if known
Church of Wedding*
Address of Church*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone*

Area CodePhone Number
Should be Empty:

Bride Information

Groom Information

Wedding Information