Marriage Intake Form

Congratulations on your engagement.

Please complete this form and press "submit".

A member of the Marriage and Family Life Office will contact you to schedule a meeting about preparing for the Sacrament of Matrimony.

What is the name of the church, city and state to plan on getting married? REQUIRED Please fill out this field. Please enter valid data.

Do you plan on completing your marriage preparation at St Helen in Georgetown, TX? REQUIRED Yes No Please fill out this field.

Are you civilly married? REQUIRED Yes No Please fill out this field.

Are you and your fiancé cohabitating? REQUIRED Yes No Please fill out this field.

Bride's full legal MAIDEN name REQUIRED Please fill out this field. Please enter valid data.

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 Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Is the bride a registered parishioner at St. Helen? REQUIRED Yes No Parishioner of another Catholic parish. (I'll provide the name and city of the parish below. Please fill out this field.

If a registered parishioner of another Catholic parish, provide the church's name and city. Please enter valid data.

Has the bride been married before? REQUIRED Yes No Marriage was annulled. Please fill out this field.

Is the bride a baptized Catholic? REQUIRED Yes No Baptized in another Christian faith. Please fill out this field.

Has the Bride received First Communion? Yes No

Has the bride received the Sacrament of Confirmation? REQUIRED Yes No Please fill out this field.

Groom's Full Legal Name REQUIRED Please fill out this field. Please enter valid data.

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 Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Is the groom a registered parishioner of St. Helen? REQUIRED Yes No Parishioner of another Catholic parish. (I'll provide the name and city of the parish below.) Please fill out this field.

If a registered parishioner of another Catholic parish, provide the church's name and city Please enter valid data.

Has the groom been married before? REQUIRED Yes No Marriage was annulled. Please fill out this field.

Is the groom a baptized Catholic? REQUIRED Yes No Baptized in another Christian faith. Please fill out this field.

Has the groom received First Communion? Yes No

Has the groom received the Sacrament of Confirmation? REQUIRED Yes No Please fill out this field.

Special Circumstances (Optional)

St. Helen Catholic Church

Georgetown

Marriage Intake Form

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