BRIDE'S FULL NAME (Maiden):
( As it appears on your Driver's License )

GROOM'S FULL NAME:
( As it appears on your Driver's License )

Today's Date:

Bride's E-Mail Address:

Groom's E-Mail Address:

Your Event Date:

Time of the Event:

Exact Address & Zip Code Where Event Will Take Place:

Phone Number of Ceremony Site:

Emergency NAME(S) and Phone Number(s) to Call on Day of Event:
In case I am running late due to traffic or mishap.

Bride/Groom Social or Nickname:
( Katherine = Kathy or Michael = Mike or NONE)

Number of Guests:

Will You Have Rings? Yes/No

BRIDE/GROOM'S OCCUPATION:
( Ex. Bank Teller, Teacher, Chemist )

Your Age:
( His = ?? Hers = ??)

Your Main Phone Number:
( Ex. 314-821-4844 )

Your Mailing Address:
(Street, City, Zip Code)

Please Add Any Questions or Comments below:


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CONFIRMATION
Please do not use this form to check on my availability as a Wedding Celebrant.
Call 314-821-4844 and confirm first.

Fill out the form below if you know I am available on your event date, time and location.
I will respond with a CONFIRMATION and include attachments of ideas for the ceremony.
Carolyn Burke, Wedding Celebrant
Carolyn Burke - Wedding Celebrant