The following information is required to prepare the forms to register your marriage. 
Please complete all items in full and return the completed form immediately to me, 
Deb Ash at thecommish@debash.com 

Marriage License Number (six digit number at top of license) _________________

SPOUSE CONJOINT(E) 	SPOUSE CONJOINT(E) 	
Surname (prior to this marriage)

	Surname (prior to this marriage)
	
Given Name(s) 

	Given Name(s) 
	
Marital Status:
Never Married        Widowed         Divorced	Marital Status:
Never Married        Widowed         Divorced	
Date of Birth (Month Day Year) 

Gender –
	Date of Birth (Month Day Year)

Gender – 
	
Place of Birth
City, province, (country if other than Canada)- 
	Place of Birth
City, province, (country if other than Canada)-	
If registered under The Indian Act: 
Name of Band - 
Registry Number – 
	If registered under The Indian Act: 
Name of Band - 
Registry Number – 
	
Residence after marriage - Complete Address
City, Province, Postal Code 
	Residence after marriage - Complete Address
City, Province, Postal Code 

Surname of Father - 

Given Name(s) – 
	Surname of Father - 

Given Name(s) – 	
Place of Birth of Father 
City, Province (Country if other than Canada) – 
	Place of Birth of Father 
City, Province (Country if other than Canada) –
	
Maiden surname of Mother -

Given Name(s) – 
	Maiden surname of Mother - 

Given Name(s) – 
	
Place of Birth of Mother 
City, Province (Country if other than Canada) – 	Place of Birth of Mother 
City, Province (Country if other than Canada) – 	
Contact Phone number-

Email address-	Date and time of wedding:

Address of where wedding will take place -