Marriage Intake Form

What is your relationship to the University Catholic Center? REQUIRED Current Student Alumni Resident Community Please fill out this field.

What is the name of the church, city and state you plan on getting married in? REQUIRED Please fill out this field. Please enter valid data.

Do you have a date in mind? REQUIRED Yes No Please fill out this field.

If yes, when? Please enter valid data.

Are you currently married civilly? REQUIRED Yes No Please fill out this field.

Bride's Full Legal MAIDEN Name (first, middle, last on your birth certificate) REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Is the bride a registered parishioner of a Catholic parish? If yes, please provide parish name and city. REQUIRED Please fill out this field. Please enter valid data.

Has the bride been married before? REQUIRED Yes No Marriage was annulled Please fill out this field.

Is the bride a baptized Catholic? REQUIRED Yes No Baptized in another Christian Faith Please fill out this field.

Has the bride received the Sacrament of Confirmation? REQUIRED Yes No Please fill out this field.

Groom's Full Legal Name (first, middle, last on your birth certificate) REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Is the groom a registered parishioner of a Catholic parish? If yes, please provide parish name and city. REQUIRED Please fill out this field. Please enter valid data.

Has the groom been married before? REQUIRED Yes No Marriage was annulled Please fill out this field.

Is the groom a baptized Catholic? REQUIRED Yes No Baptized in another Christian Faith Please fill out this field.

Has the groom received the Sacrament of Confirmation? REQUIRED Yes No Please fill out this field.

Would you like your wedding to take place in the context of a Mass? (Normally done only when both parties are Catholic) REQUIRED Please fill out this field. Please enter valid data.