Bride's Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Are you or your parents a member of St. Francis Xavier? *

Yes

No

If yes, who is the registered member? *

If previous question is no, choose N/A.

Myself

My parents

Both

N/A

Groom's Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Are you or your parents a member of St. Francis Xavier? *

Yes

No

If yes, who is the registered member? *

If previous question is no, choose N/A.

Myself

My parents

Both

N/A

Coordinator Contact Information (if applicable)

First Name

Last Name

Wedding Date Request

MM

DD

YYYY