St. George’s Anglican Church

51 Church St., Moncton, NB E1C 4Z3

Church Office: 506-855-5209              Fax: 506-388-4866

Email – office@stgeorgesmoncton.ca

The Reverend Chris VanBuskirk

The Rev. Dr. Dan Goodwin

The Rev. Deacon Norm Dupuis

 

MARRIAGE INFORMATION

 

Today’s Date_________________

PROPOSED DATE__________ DAY__________ MONTH_______ YEAR________ TIME  

 

GROOM  SURNAME_____________   GIVEN NAMES ________________________

                NEVER PREVIOUSLY MARRIED__ WIDOWED_______ DIVORCED _______

OCCUPATION OF GROOM_____________________________________________

PHONE # WORK_____________________ HOME________________________

CHURCH MEMBER Yes__ No_____

NAME OF CHURCH WHERE BAPTIZED_____________________ Date__________

RELIGION CONFIRMED_______________________________________________

MEMBER OF _____________________  PARISH / CONGREGATION

BIRTH DATE     DAY_________ MONTH________ YEAR_________ AGE________

BIRTHPLACE   CITY_______________________ PROVINCE___________________

MEDICARE #___________________________

RESIDENCE BEFORE MARRIAGE_______________________________________

                                                     __________________________ P.C.________________

FATHER:        SURNAME__________ GIVEN NAMES_________________________

                BIRTHPLACE_________________________

                COUNTRY/PROVINCE__________________

MOTHER: MARRIED SURNAME_____________ MAIDEN SURNAME____________

                GIVEN NAMES___________________________________

                BIRTHPLACE____________________________________

                COUNTRY/PROVINCE ____________________________

 

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BRIDE     SURNAME_____________   GIVEN NAMES ________________________

                NEVER PREVIOUSLY MARRIED__ WIDOWED_______ DIVORCED _______

OCCUPATION OF BRIDE______________________________________________

PHONE # WORK_____________________ HOME________________________

CHURCH MEMBER Yes__ No_____

NAME OF CHURCH WHERE BAPTIZED_____________________ Date__________

RELIGION CONFIRMED_______________________________________________

MEMBER OF _____________________  PARISH / CONGREGATION

BIRTH DATE     DAY_________ MONTH________ YEAR_________ AGE________

BIRTHPLACE   CITY_______________________ PROVINCE___________________

MEDICARE #___________________________

RESIDENCE BEFORE MARRIAGE_______________________________________

                                                     __________________________ P.C.________________

FATHER:        SURNAME__________ GIVEN NAMES_________________________

                BIRTHPLACE_________________________

                COUNTRY/PROVINCE__________________

MOTHER: MARRIED SURNAME_____________ MAIDEN SURNAME____________

                GIVEN NAMES___________________________________

                BIRTHPLACE____________________________________

                COUNTRY/PROVINCE ____________________________

 

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COMPLETE ADDRESS AFTER MARRIAGE (BOTH MAILING AND STREET ADDRESS IF DIFFERENT)

___________________________________________________________________

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CEREMONY INFORMATION

 

BEST MAN

          NAME___________________________________________________________

          ADDRESS________________________________________________________

                         __________________________________________ P.O._____________

 

MAID OR MATRON OF HONOR

          NAME___________________________________________________________

          ADDRESS________________________________________________________

                         __________________________________________ P.O._____________

 

NUMBER OF Bridesmaids_ Groomsmen__ Ushers____ Flower Girl___ Ring Bearer___

 

REHEARSAL DATE  ___________________________________________________

 

BAPTISM REQUESTED______________ CONFIRMATION REQUESTED__________

 

ANY OTHER INFORMATION_____________________________________________

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