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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

Name of Officiant

Witness #1 Name

Witness #1 Address

Witness #2 Name

Witness #2 Address

Are rings being exchanged?

Yes

No

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

Yes

No

Is an interpreter required?

Yes

No

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.