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Wedding Intake Form

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  Requested Wedding Date(s)/Location
  
  1st Preference REQUIRED Please fill out this field. Please enter valid data.
  
  Other Possible Dates REQUIRED Please fill out this field.
  
  Location of Wedding REQUIRED Please fill out this field.
  
  If Other, please elaborate
  
  Name of Preferred Celebrant REQUIRED Please fill out this field. Please enter valid data.
  
  Groom's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Street 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.
  
  Are you a parishioner of Saint Luke the Evangelist Parish? REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Have you ever been married in a religious ceremony, a civil ceremony (like a Justice of the Peace)? REQUIRED Please fill out this field.
  
  Are you seeking a Church Validation of an existing civil ceremony? REQUIRED Please fill out this field.
  
  Bride's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Street 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.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Are you a parishioner of Saint Luke the Evangelist Parish? REQUIRED Please fill out this field.
  
  Have you ever been married in a religious ceremony, a civil ceremony (like a Justice of the Peace)? REQUIRED Please fill out this field.
  
  Submit
  
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