Date of Application: ___________ Desired Date of Wedding: ___________
Request for Marriage Primary Contact for Wedding: ____________________________
(____)____________
Name
___________________________ Email
Phone Number
Full Name of Bride: _________________________________________ Bride’s Current Address: _____________________________________ Street
_____________________ City, State
________________ Zip Code
Bride’s Contact Phone Number: (____) __________________ Bride’s Email: ________________________________________ Bride’s Current Church:________________________ City, State:__________________ Denomination:___________________ Bride’s Date of Birth: ____ / ____ / ____
City, State of Birth: ___________________________________________
Bride’s Date of Baptism: ____ / ____ / ____
Church and City, State: ________________________________________
Bride’s Date of Confirmation: ____ / ____ / ____
Church and City, State: ________________________________________
Bride’s Parents’ Names (include mother’s maiden name): ________________________________________________________ Parents’ Address(es): ________________________________________ Street
_____________________ City, State
________________ Zip Code
Full Name of Groom: _________________________________________ Groom’s Current Address: _____________________________________ Street
___________________ City, State
________________ Zip Code
Groom’s Contact Phone Number: (____)__________________ Groom’s Email: ______________________________________ Groom’s Current Church:_______________________ City, State:__________________ Denomination:___________________ Groom’s Date of Birth: ____ / ____ / ____
City, State of Birth: ___________________________________________
Groom’s Date of Baptism: ____ / ____ / ____
Church and City, State: ________________________________________
Groom’s Date of Confirmation____ / ____ / ____
Church and City, State: ________________________________________
Groom’s Parents’ Names (include mother’s maiden name): _______________________________________________________ Parents’ Address(es): _______________________________________ Street
___________________
__________________
City, State
Zip Code
*Has the Bride been previously married: Yes No If divorced, please list the date of the final dissolution of any previous marriages: ____________________________________ *Has the Groom been previously married: Yes No If divorced, please list the date of the final dissolution of any previous marriages: ____________________________________ *If either the bride or groom has been divorced, remarriage can only be done with the consent of the Bishop of Missouri. The clergy can discuss with you the process for petition for remarriage. That process can take up to 30 days once the petition is submitted. A date cannot be set for your marriage until the petition has been approved.
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