Marriage Request Form
Bride's Information
Name & Address:

,
Contact:

Birth Information:
Bride's Religion:
Sacraments Received: Yes   No   Baptism

Yes   No   First Reconciliation
Yes   No   First Eucharist
Have you ever been married before? Yes   No
Is the Bride a registered member of a church parish? Yes   No

Parent's Information:
Groom's Information
Name & Address:

,
Contact:

Birth Information:
Groom's Religion:
Sacraments Received: Yes   No   Baptism

Yes   No   First Reconciliation
Yes   No   First Eucharist
Have you ever been married before? Yes   No
Is the Groom a registered member of a church parish? Yes   No

Parent's Information:

St. Thomas More Roman Catholic Church
3015 Roundelay Road, Lynchburg, VA 24502-2036
phone: 434.237.5911, fax: 434.237.8854, e-mail: info@stmva.com

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