Saint John the Baptist Application to Holy Matrimony

Sacrament of Matrimony In-Take Form
CONGRATULATIONS ON YOUR ENGAGEMENT!

Please complete the following in-take form to begin the process of preparation for Holy Matrimony at Saint John the Baptist Catholic Church.
Have either of you been married before?*

YesNo
If yes, please indicate the following:

An annulment has been grantedAn annulment case is in progressAn annulment case has not yet been started
Are you Cohabitating (living together before marriage)?

YesNo
Bride's Information
Bride Full Baptismal Name*

First NameMiddle NameLast Name
Bride Date of Birth*

MonthDayYear
Date
Bride Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bride Phone Number*

Area CodePhone Number
Bride Phone Type*

Cell/Mobile PhoneHome PhoneWork Phone
Bride Email*
example@example.com
Bride Religion*
Bride Current Parish/Church*
Bride - If you are a member of St John the Baptist in Jordan, how long have you been here?
Bride - Are your parents members at St John the Baptist*

YesNo
Bride - If so, how many years?
Bride - Mother's name*

First NameMiddle NameLast Name
Bride - Mother's Maiden Surname*
Bride - Father's Name*

First NameMiddle NameLast Name
Groom's Information
Groom - Full Baptismal Name*

First NameMiddle NameLast Name
Groom - Date of Birth*

MonthDayYear
Date
Groom - Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Groom - Phone Number*

Area CodePhone Number
Groom - Phone Number Type*

Cell/Mobile PhoneHome PhoneWork Phone
Groom - Email*
example@example.com
Groom - Religion*
Groom - Current Parish/Church*
Groom - If you are a member of St John the Baptist in Jordan, how long have you been here?
Groom - Are your parents members at St John the Baptist*

YesNo
Groom - If so, how many years?
Groom - Mother's name*

First NameMiddle NameLast Name
Groom - Mother's Maiden Surname*
Groom - Father's Name*

First NameMiddle NameLast Name
Wedding Information
Requested Wedding Date (1st Choice)*

MonthDayYear
Date
Requested Wedding Date (2nd Choice)

MonthDayYear
Date
Requested Wedding Date (3rd Choice)

MonthDayYear
Date
Requested Time of Wedding*

Friday 6:00pmSaturday (other than the first Saturday of the Month) 11:00amSaturday 2:00pm
Should be Empty:

Sacrament of Matrimony In-Take Form

Bride's Information

Groom's Information

Wedding Information