St. Mary Church

Crown Point, IN

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Groom Form

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  Tentative Marriage Date Requested: REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Phone (work) Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Any former marriage? Civil or in Church? REQUIRED Please fill out this field.
  
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