Christine E. Speight, Justice of the Peace
"Embracing Marriage for All" 

Reserve the Date - Couple's Information 

In order to create the best ceremony for you and reserve your desired date, please fill out the questionnaire below. Please make a copy of each spouses government ID i.e. Driver's license, passport or birth certificate and e-mail, fax or mail them to the address below. 
Please advise me if anything changes.

Christine E. Speight, JP
442 Flint Street

Bridgeport, CT
  06606
203-224-9800
christine@ctjpchristine.com

How did you find me?:

Other:

Couple Info:

Bride/Partner 1 First Name:*

Bride/Partner 1 Last Name:*

Bride/Partner 1 Preferred Name:

Groom/Partner 2 First Name:*

Groom/Partner 2 Last Name:*

Groom/Partner 2 Preferred Name:

Contact Info:

Address1:

Address2:

City:

State:

Zip Code:

Best Time to Call:

 

6 AM - 9 AM

 

9 AM - 5 PM

 

5 PM - 9 PM

 

9 PM - 11 PM

Phone:*

Alternate Phone #:

Email:

Marriage License:

Do you have your license?:

 

No, we do not have the license

 

Yes, we have the license

Town of Issuance and Date Issued:

 

Type of Ceremony:*

Other:

Ceremony Date:*

Formality of Ceremony:

Ceremony Preference:*

Start Time:*

End Time:

Ceremony Location:*

Ceremony Address1:

Ceremony Address2:

Ceremony City:

Ceremony State:

Ceremony Zip Code:

Location Contact Name:

Location Phone #:

Have you made arrangements for:

 

Photographer/Camera/Video

 

Music

 

Flowers

 

Other

Ceremony Size:*

Bride/Partner Given Away By:

Ceremony Attendants:

 

Best Man

 

Maid/ Matron of Honor

 

Brides Maids

 

Grooms Men

 

Flower Girl

 

Ring Bearer

 

Ushers

 

Pet(s)

Other Attendants:

 

Rings:*

Ceremony Options:

 

Unity Candle (JP Provides, additional fee)

 

Unity Candle (Couple Provides)

 

Blessing of the Rings

 

Support from Parents

 

Honoring the Mother(s)

 

Moments of Remembrance

 

Agape Ceremony

 

Sand Ceremony

 

Flower Ceremony

 

Handfasting/ Ribbon Ceremony

 

Wine or Water Ceremony

 

Jumping the Broom

 

Breaking the Glass

 

Reading by Family/ Friends

Readings and Prayers:

 

Other Option (Please Specify):

 

Request JP Wears:*

Comments/ Special Requests:

 

Rehearsal:

 

We would like you to conduct a rehearsal ceremony.

 

We would like you to give the blessing at the rehearsal dinner.

Would you consider:

 

After your wedding, would you write a testimonial on my website?

 

Would you sign a release to use your photo(s) on my website?

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