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EAC Application for Holy Matrimony: Groom
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* Indicates required question
First Name of Groom
*
Your answer
Middle Name of Groom
*
Your answer
Last Name of Groom
*
Your answer
Birthdate of Groom
*
MM
/
DD
/
YYYY
Name of Fiancée
*
Your answer
Groom's House Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Date you started attending Emmanuel Anglican Church
*
Your answer
Date and church you were Baptized in
*
Your answer
Date and church you were Confirmed in
*
Your answer
Are you in a civil marriage right now? (If "yes" to whom?)
*
Your answer
Do you commit to the
Duties of the Laity?
*
Yes
No
I have questions
Required
Do you agree to the
Marriage Declaration and Consents
?
*
Yes
No
I have questions
Required
What is the
proposed
wedding date and time? (Note that, 1. the Sacrament of Holy Matrimony is administered in the Church sanctuary and 2. pre-marital counseling takes place over a 90-day period following approval of this application)
*
Your answer
Requested officiant for the wedding
*
Bishop Menees
Dean Lawson
Father Valez
Canon Raines
Deacon Hearn
Deacon Thurber
Other:
Required
Have you been married previously (Holy Matrimony or Civil)?
*
Civil Marriage
Sacrament of Holy Matrimony
Never Married
Required
If yes to the previous question, 1) how many times have you been married (Civilly and/or Sacramentally) previously, 2) to whom have you been married previously, 3) length of (each) marriage, 4) describe the reason for divorce(s)?
*
Your answer
Are you bound by any impediment to marriage? (age, sacred orders, sacred bonds, vows, religious profession, crime, public propriety, impotence)?
*
Yes
No
Required
If yes, please explain
*
Your answer
How long have you known your fiancée?
*
Your answer
Are you related to your fiancée by blood (kinship) or by a legal relationship (in-laws) or by adoption?
*
Yes
No
Required
If yes, please explain
*
Your answer
Have you ever been treated by a doctor or professional for mental or nervous illness?
*
Yes
No
Required
If yes, please explain
*
Your answer
Do you have any physical, psychological or addictive problems which may affect your marriage?
*
Yes
No
Required
If yes, please explain
*
Your answer
Is any person, or circumstance, forcing you to enter this marriage against your own will?
*
Yes
No
Required
If yes, please explain
*
Your answer
Are you attaching any conditions, restrictions or reservations of any kind to your consent to this marriage?
*
Yes
No
Required
If yes, please explain
*
Your answer
In this marriage do you intend to enter a life-long covenant which is dissolved only by death?
*
Yes
No
Required
If no, please explain
*
Your answer
In this marriage do you intend to be faithful/chaste to your fiancée for life?
*
Yes
No
Required
If no, please explain
*
Your answer
In this marriage do you intend to give your fiancée the normal marital rights necessary to have children?
*
Yes
No
Required
If no, please explain
*
Your answer
Is there any substantive fact about you, in regard to either the present or the past, which you have not made known to your fiancée?
*
Yes
No
Required
If yes, please explain
*
Your answer
The answers that I have provided are true and have been given in good faith (Please type your full name).
*
Your answer
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