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First Person |
Second Person |
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Full Name: |
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Address: |
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City: |
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State & Zip: |
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Signature(s): |
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If the last names will change after the Holy Union, please indicate the new names here: |
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Date of Holy Union: |
Chapter: |
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Presider(s): |
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DignityUSA Guidelines
*The Chapter President/Representative must verify the following*
- Both members of the couple shall be at least the legal age of consent for marriage in the state in which the ceremony is to be performed.
- Neither member may be bound by a prior marriage or unresolved commitment.
- At least one member of the couple must be an active member of a Dignity Chapter.
- The couple must inform the chapter leadership of their intention and work with the individuals designated by the chapter for preparation for their Holy Union.
- The couple must have completed the program of preparation adopted by the local chapter for Holy Unions.
Chapter President/Representative:
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Please print & mail this form to:
DignityUSA, PO Box 376, Medford, MA 02155
info@dignityusa.org
or FAX to: 781.397.0584
