ST. MARY OF THE ASSUMPTION & ST. BONIFACE
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Marriage Request
*
Indicates required field
Requested Date of Marriage
*
Groom's Birth Name:
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Current Parish
*
St. Boniface
St. James
St. John the Less
St. Mary of the Assumption
Other ( Please enter name in next box)
Name of Parish if Other
*
Place of Birth:
*
Date of Birth
*
Church of Baptism
*
St. Mary of the Assumption (West Point)
St. Boniface (Farmington)
St.James (St. Paul)
St. John (Houghton)
Holy Family Parishes (Fort Madison)
Divine Mercy (Burlington)
St. Alphonsus (Mt. Pleasant)
All Saints (Keokuk)
Other ( Please Fill next box)
Church of Baptism if Other including denomination
*
Church Address
*
Line 1
Line 2
City
State
Zip Code
Country
Date of Baptism
*
Father's Birth Name
*
Father's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mother's Birth Name
*
Mother's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Bride's Birth Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Current Parish
*
St Boniface
St James the Less
St John the Baptist
St. Mary of the Assumption
Other
Choose One
*
Option 1
Option 2
Option 3
Submit
Home
Welcome
>
St Mary's History
New Members
Staff
Live Your Faith
Stewardship
>
Stewardship form
Sacraments
Sacraments of Initiation
>
Baptism
>
Godparents
First Communion
Confirmation
RCIA/RCIC
Sacraments of Service
>
Marriage
Sacraments of Healing
>
Reconciliation
Holy Orders
Faith Formation
Religious Education
VBS
Formed
Family & Youth
Youth Ministry
Family & Youth Gatherings
Service Projects
New Page