Date and time of wedding: _____________________
Date and time of rehearsal: ______________________
| Groom | Bride |
| Full legal name (as it will appear on the marriage license), usually first, middle and last: | |
| The name(s) by which you want to be referred to during the ceremony: | |
| Address | |
| Street | Street |
| Apt | Apt |
| City, State, Zip | City, State, Zip |
| Phone | |
| Home | Home |
| Work | Work |
| Cell | Cell |
| Birthdate | |
| Age on wedding date: | Age on wedding date: |
| Church Membership | |
| ( ) Gloria Dei | ( ) Gloria Dei |
| Other: | Other: | ( ) None - Baptized? ( ) Yes ( ) No | ( ) None - Baptized? ( ) Yes ( ) No |
| Married Before? | ( ) Yes ( ) No | ( ) Yes ( ) No |
| Children's Names and Ages | |
| Full (first, middle, last) legal name as you plan to use it after the marriage: | |
| Address after Wedding: | |
| __________________________________________________ | |
| __________________________________________________ | |
| Home phone and E-mail after Wedding: | |
| __________________________________________________ | |
| __________________________________________________ | |
| Office Use: | |
| DuPage County Marriage License #: | Date Licensed Issued: |
| Introductory Appointment: | Complete Prepare Inventory: |
| Review Inventory Results: | Additional Counseling: |
| Ceremony Planning Guide: | Planning Questionnaire Returned: |