Ceremony Confirmation ________________________________________________________________________ The following must be filled in and checked in order to complete your request! Full name of person that made payment (required) Email (required) I have made my non-refundable retainer for the date, time and location agreed upon I have read and I agreed to the terms and conditions before making my nonrefundable retainer and understand that it is NOT transferable to another date/time/location ________________________________________________________________________ PERSON #1 INFORMATION Person 1 Full Name (required) Person1 Email (required) Person 1 Age (required) Person 1 Gender (required) MaleFemale Person 1 Cell Number (required) Do You Text (required) YesNo ________________________________________________________________________ PERSON #2 INFORMATION Person 2 Full Name (required) Person 2 Email (required) Person 2 Age (required) Person 2 Gender (required) MaleFemale Person 2 Cell Number (required) Do You Text (required) YesNo ________________________________________________________________________ CONTACT INFORMATION Street Address (required) City, State, Zip (required) ________________________________________________________________________ PLEASE DO NOT DIFFER THE LOCATION, DATE AND TIME FROM AGREEMENT. Ceremony Location Please SelectCoronado - Hotel del Coronado DunesCoronado - Bay View (Couple only)Oceanside - Cassidy StreetLaughlin, NV AreaBullhead City, AZ AreaLake Havasu, AZ AreaNeedles, CA AreaBlythe, CA AreaYuma, AZ AreaOther - Please list in comment area below Ceremony Date MONTHJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember DAY12345678910111213141516171819202122232425262728293031 YEAR20192020 Ceremony Time HOUR123456789101112 MINUTE:00:05:10:15:20:25:30:35:40:45:50:55 AMPM Type of Ceremony Please SelectCivil TypeSpiritual / Traditional ((Mention of God w/ Prayer & BlessingChristian / Non-Denominational (Christ centered w/blessing, prayer and scripture) Please send additional Information for the following PhotographyTransportationLodging ________________________________________________________________________ How many years have you been married (required) 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465 How many children CHILDREN012345678910 How many guests WITNESSESJust Us!1234567891011121314151617 Will you be exchanging new rings? (required) YesNo ________________________________________________________________________ Officiant Preference (no guarantee/based on availability): No PreferenceRev. ChristopherChaplain Mary For Rev. Christopher, please select attire preference: ---Coat and TieCoat no TieSlacks w/ Hawaiian Shirt For For Chaplain Mary, please select attire preference: ---BusinessBusiness CasualBeach ________________________________________________________________________ Comments - Please be as detailed as possible. (exp: If this is a surprise Vow Renewal for one or both, A gift, etc.) Once this form and confirmation of payment has been made, you will receive a confirmation email with all additional information regarding your elopement.