Marriage Registration Form

- Sacraments

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- Please take a moment to read and complete the marriage registration form. Once you submit the form, a member of the marriage ministry will contact you regarding dates and next steps.
- Groom's Information
  
  Complete Legal First Name (No Nickname) REQUIRED Please fill out this field. Please enter valid data.
  
  Full Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Complete Legal Last Name (As Appears on Birth Certificate) REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Are you a registered member of our parish? Couples must be registered, active, and contributing members of the parish for at least 6 months prior to the wedding. REQUIRED
  Couples must be registered, active, and contributing members of the parish for at least 6 months prior to the wedding.
  Please fill out this field.
  
  Envelope Number REQUIRED Please fill out this field. Please enter valid data.
  
  Is this your first marriage? REQUIRED Please fill out this field.
  
  Currently living together? REQUIRED Please fill out this field.
  
  Are you entering marriage with children from your current relationship? REQUIRED Please fill out this field.
- Bride's Information
  
  Complete Legal First Name (No Nickname) REQUIRED Please fill out this field. Please enter valid data.
  
  Full Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Complete Legal Last Name (As Appears on Birth Certificate) REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Name of Church where registered. REQUIRED Please fill out this field. Please enter valid data.
  
  Member Since REQUIRED Please fill out this field. Please enter a date.
- Is this your first marriage? REQUIRED Please fill out this field.
- Currently living together? REQUIRED Please fill out this field.
- Are you pregnant? REQUIRED Please fill out this field.
- Are you entering marriage with children from your current relationship? REQUIRED Please fill out this field.
- Tentative Requested Wedding Date REQUIRED Please fill out this field. Please enter valid data.
- Donations for Wedding
  Registered Parishioners: Church $500/Chapel $300
  Donation for the Priest/Deacon is at the discretion of Groom/Bride and in addition to the other Church fees and/or requested stipends.
  All music arrangements are to be made thrugh the Parish Music Minister/Director. Please contact her directly at seasmusicoffice@seasrc.org or (954) 753-3330 ext 117. Music fees are in addition to Church fees and Priest/Deacon stipend and are solely between the Groom/Bride and Dr. Kofman.
  A non-refundable deposit of $100.00 is required in order to reserve a specific wedding date. All remaining fees are to be presented to the parish office no later than two (2) weeks prior to the wedding.
- We understand and accept the above terms and conditions. Please select this field.
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St. Elizabeth Ann Seton

Catholic Church
1401 Coral Ridge Drive, Coral Springs, FL 33071

Marriage Registration Form