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?
If yes, please indicate the following:
Are you Cohabitating (living together before marriage)?
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
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
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
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
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
Should be Empty:

Sacrament of Matrimony In-Take Form

Bride's Information

Groom's Information

Wedding Information