• The maximum number of form submissions has been reached. This form is currently not available.

  • Language of Mass REQUIRED English Spanish Please fill out this field.
  • Desired Wedding Date REQUIRED Please fill out this field. Please enter valid data.
  • Groom's Name REQUIRED Please fill out this field. Please enter valid data.
  • Groom's Age REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  • Groom's Address REQUIRED Please fill out this field. Please enter valid data.
  • Groom's Telephone REQUIRED Please fill out this field. Please enter valid data.
  • Parish where Groom is registered REQUIRED Please fill out this field. Please enter valid data.
  • Has the Groom received the Sacrament of Baptism? REQUIRED Yes No Please fill out this field.
  • What Religion ? REQUIRED Please fill out this field. Please enter valid data.
  • Has the Groom received the Sacrament of First Communion? REQUIRED Yes No Please fill out this field.
  • Has the Groom received the Sacrament of Confirmation? REQUIRED Yes No Please fill out this field.
  • Has the Groom been previously married? REQUIRED Yes No Please fill out this field.
  • If yes please specify Church Civilly
  • Bride's Name REQUIRED Please fill out this field. Please enter valid data.
  • Bride's Age REQUIRED Maximum 2 characters Please fill out this field. Please enter valid data.
  • Bride's Address REQUIRED Please fill out this field. Please enter valid data.
  • Bride's Telephone REQUIRED Please fill out this field. Please enter valid data.
  • Parish where Bride is registered REQUIRED Please fill out this field. Please enter valid data.
  • Has the Bride received the Sacrament of Baptism? REQUIRED Yes No Please fill out this field.
  • What Religion ? REQUIRED Please fill out this field. Please enter valid data.
  • Has the Bride received the Sacrament of First Communion? REQUIRED Yes No Please fill out this field.
  • Has the Bride received the Sacrament of Confirmation? REQUIRED Yes No Please fill out this field.
  • Has the Bride been previously married? REQUIRED Yes No Please fill out this field.
  • If yes please specify Church Civilly

  Submit

  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.