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2716 North Dobson Road Suite 1

Chandler, AZ, 85224

(480) 899-3330

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Home
Welcome
Youth Ministries
Adult Ministries
Our Faith
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AFFIDAVIT FOR LICENSE TO MARRY

Complete all fields for both the groom and bride, then submit the information and our priest will contact you to review and sign the official forms.

The section below pertains to the GROOM *

Full name of the groom

First Name

Last Name

Place of Residence *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age *

Date of Birth *

YYYY

Place of Birth *

City, State and Country

Date of Orthodox Baptism (leave blank if baptized outside the Orthodox Church)

YYYY

If you were baptized outside the Orthodox Church, into which Christian denomination were you baptized?

If you were baptized outside the Orthodox Church, what was the date of that baptism?

YYYY

Date on which you became an Orthodox Christian? (Enter N/A if non-Orthodox)

Usual Occupation *

Father's Name *

First Name

Last Name

Father's Country of Birth *

Father's Faith/Religion *

Mother's Name (enter first name followed by Maiden last name) *

First Name

Last Name

Mother's Country of Birth *

Mother's Faith/Religion *

Have you ever been previously married (including Orthodox, non-orthodox or civil marriage)? *

If "Yes" then you will also need to complete and submit a "Supplementary Marriage Record Form"

Yes

At what age did you arrive in the United States or Canada? *

Enter N/A if you were born in the United States or Canada

Are you related to the intended bride? *

Check the first and/or second box if "Yes", otherwise check the last box. If "Yes" to any selection, a complete explanation must be submitted in writing to the Metropolis.

By Blood (cousins, etc.)

By Marriage to one of her relatives

Not related to the intended bride

The section below pertains to the BRIDE *

Full name of the bride

First Name

Last Name

Place of Residence *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age *

Date of Birth *

YYYY

Place of Birth *

City, State and Country

Date of Orthodox Baptism (leave blank if baptized outside the Orthodox Church)

YYYY

If you were baptized outside the Orthodox Church, into which Christian denomination were you baptized?

If you were baptized outside the Orthodox Church, what was the date of that baptism?

Date on which you became an Orthodox Christian? (Enter N/A if non-Orthodox)

Usual Occupation *

Father's Name *

First Name

Last Name

Father's Country of Birth *

Father's Faith/Religion *

Mother's Name (enter first name followed by Maiden last name) *

First Name

Last Name

Mother's Country of Birth *

Mother's Faith/Religion *

Have you ever been previously married (including Orthodox, non-orthodox or civil marriage)? *

If "Yes" then you will also need to complete and submit a "Supplementary Marriage Record Form"

Yes

Are you related to the intended groom?

Check the first and/or second box if "Yes", otherwise check the last box. If "Yes" to any selection, a complete explanation must be submitted in writing to the Metropolis.

By Blood (cousins, etc.)

By Marriage to one of her relatives

Not related to the intended groom

Thank you for your submission. Father Timothy will contact you shortly to review and sign the official documents.

If either bride or groom were previously married, please also complete and submit the “Supplementary Marriage Record Form”.

You may now click away from this page.

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St. Katherine Greek Orthodox Church

2716 N. Dobson Rd.
Chandler, AZ 85224

office@st-katherine.org
(480) 899-3330

Office Hours

Tuesday – Thursday
9:30am – 3:30pm

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