Please complete the entire form and submit with payment of $175.00 per couple, prior to the deadline. After the deadline the fee is $230.00 per couple. Bride's InformationName as it appears on your driver's license* First Middle Last Suffix Name you would like on your name tag* First Last Age* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Enter Email Confirm Email Please list any medically necessary dietary restrictionsList any/all that apply Religion* Parish/Church you attend* Parish/Church you attend* City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Groom's InformationName as it appears on your driver's license* First Middle Last Suffix Name as you would like on your name tag* First Last Age* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Enter Email Confirm Email Please list any medically necessary dietary restrictionsList any/all that apply Religion* Parish/Church you attend* Parish/Church you attend* City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code General InformationPriest or Deacon assisting with your Marriage Preparation* PrefixRev.Very Rev.Msgr.Deacon Prefix First Last Suffix At which Parish?* At which Parish?* City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Priest or Deacon officiating at your wedding* PrefixRev.Very Rev.Msgr.Deacon Prefix First Last Suffix What Church will the wedding take place?* What Church will the wedding take place?* City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If getting married outside of the United States, please list city and country.City/Country Wedding Date* MM slash DD slash YYYY Have either of you been previously married?* Yes No Please select your program date.* Saturday, October 21, 2023 (Deadline 10/2/23) Saturday, November 18, 2023 (Deadline 10/30/23) Saturday, January 20, 2024 (Deadline 1/5/24) Saturday, February 17, 2024 (Deadline 2/2/24) Saturday, March 16, 2024 (Deadline 3/1/24) Saturday, April 20, 2024 (Deadline 4/4/24) Saturday, May 18, 2024 (Deadline 5/3/24) Saturday, June 15, 2024 (Deadline 5/31/24) Saturday, July 20, 2024 (Deadline 7/3/24) Saturday, September 21, 2024 (Deadline 9/6/24) Saturday, October 19, 2024 (Deadline 10/4/2024) Saturday, November 16, 2024 (Deadline 11/1/2024) Please select an alternate program date in the event your first choice is not available.* Saturday, October 21, 2023 (Deadline 10/2/23) Saturday, November 18, 2023 (Deadline 10/30/23) Saturday, January 20, 2024 (Deadline 1/5/24) Saturday, February 17, 2024 (Deadline 2/2/24) Saturday, March 16, 2024 (Deadline 3/1/24) Saturday, April 20, 2024 (Deadline 4/4/24) Saturday, May 18, 2024 (Deadline 5/3/24) Saturday, June 15, 2024 (Deadline 5/31/24) Saturday, July 20, 2024 (Deadline 7/3/24) Saturday, September 21, 2024 (Deadline 9/6/24) Saturday, October 19, 2024 (Deadline 10/4/2024) Saturday, November 16, 2024 (Deadline 11/1/2024) Consent* I acknowledge and consent to the terms listed below.Please know that this is only the application process which isn’t considered complete until payment is received. Every attempt is made to accommodate couples for their preferred date. Should this date no longer be available, you will be confirmed for your alternate choice. Upon processing your application and payment, a confirmation letter will be sent as an email attachment. This will acknowledge the date for which you are registered, provide details not included in the brochure, and outline the cancellation/postponement procedures and penalties that go into effect at that time.