Civil Marriage Ceremony Application Form

Applicant Name

Address

City

Telephone number

Email address

Joint Applicant Name

Address

City

Telephone number

Email address

Date of Civil Marriage Ceremony

Time of Civil Marriage Ceremony

Location of Ceremony

Witness #1 Name

Witness #1 Address

Witness #2 Name

Witness #2 Address

Are rings being exchanged? Are rings being exchanged?

Yes

Is anyone escorting the applicant(s) down the "aisle"? Is anyone escorting the applicant(s) down the "aisle"?

Yes

Is an interpreter required? Is an interpreter required?

Yes

Please select one of the ceremony vow scripts Please select one of the ceremony vow scripts

Applicant and Joint Applicant Consent Applicant and Joint Applicant Consent

I/We understand that this civil marriage booking is not confirmed until this agreement is completed and returned to the Clerk's office with full payment.

Date

Applicant Signature

Clear

Date

Joint Applicant Signature

Clear

Town of Kingsville Use Only

Original marriage license or certificate of publication of banns attached: □ Yes □ No

Copy of photo ID attached: □ Yes □ No

Council Chambers booked: □ Yes □ N/A

Civil Service Fee (including HST): #MARSO

Travel (including HST): #MARTR

Total Payable (including HST):

Civil Marriage Ceremony Application Form

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