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Wedding Date Request
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Wedding Date Request
"
*
" indicates required fields
NAME OF BRIDE
*
NAME OF GROOM
*
COUPLES PICTURE
*
Max. file size: 16 MB.
NAME OF COUNSELLORS
*
DATE REQUESTED
*
(please provide 3 preferred dates and time respectively)
Date
Time
Add
Remove
DO THEY HAVE PARENTAL CONSENT FOR THIS WEDDING
*
Yes
No
HAVE YOU VISITED THE COUPLE'S INTENDED PLACE OF ABODE?
*
Yes
No
WHY NOT?
*
ARE THERE SIGNIFICANT ISSUES RELATING TO THIS WEDDING?
*
Affirm that the information provided above is true to the best of our knowledge and we are giving our approval with regards to the wedding.
*
Affirm that the information provided above is true to the best of our knowledge and we are giving our approval with regards to the wedding.
We agree
Counsellors Initials
*
Date
*
MM slash DD slash YYYY