Marriage Officiant Request

This request is for heterosexual couples only

Brides Name*

Are you a partner of COGM?*

Yes

No

Groom's Name

Are you a partner of COGM?*

Yes

No

How long have you been engaged?*

Have you attended pre-marital counseling at COGM?*

Yes

No

Bride, have you been married before?*

Yes

No

Groom, have you been married before?*

Yes

No

Bride, do you have children?*

Yes

No

Groom, do you have children?*

Yes

No

Have you set a date for your wedding? If so, please provide the following information:

Date and time of Wedding

Month

Day

Year

Time

:HoursMinutes

Location

Contact Information

Please submit the best way to contact each of you:

Bride’s Contact Information

Phone*

Email*

Groom’s Contact Information

Phone*

Email*

If you need assistance with completing this form please let us know and we will be happy to assist you.

Phone: 716-215-6410

1329 Pine Ave, Niagara Falls, NY 14301

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