Civil Ceremony Request Form

Please complete and submit this form to request a Civil Ceremony. Please note the date you select is not guaranteed.

Mandatory fields are marked with an asterisk (*).

Name of Applicant 1

Name of Applicant 2

E-mail address

Phone Number

Have you obtained your Marriage License?

Yes

Preferred Date for Ceremony:

Alternate Date for Ceremony:

Time of Ceremony requested (Note: CEREMONIES ARE ONLY AVAILABLE BETWEEN THE HOURS OF 9AM- 4PM, MONDAY - FRIDAY)

Which ceremony variation are you requesting? (Ceremony Variations are listed on our website)

Ceremony 1

Ceremony 2

Ceremony 3

Ceremony 4

Ceremony 5

Ceremony 6

Ceremony 7

Ceremony 8

Will you require witnesses?

No, I will be bringing witnesses

Yes, I require witnesses

Date of Application

Signature

Clear

Personal information contained in this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), and will be used only for the purpose for which its collection was intended. Questions about this collection should be directed to the FOI Coordinator at the Township of Essa.