Form A Pre-Nuptial Questionnaire (Page 2 of 4) in pdf

18. As far as you know is your intended spouse giving consent to this marriage voluntarily and without force of any kind?_________

19. Do you understand the nature and obligations of marriage and do you agree, without any condition or reservation:

to enter a marriage that is for life;________________________________________________________________________

to give your spouse the right to have children;______________________________________________________________

and to accept the obligation of being faithful to your spouse?__________________________________________________

20. To the best of your knowledge and belief, is this the intention of your intended spouse?______________________________

21. (For persons under 18 years of age) Have you secured the consent of your parents for this marriage?___________________

22. Do you have anything else to add regarding the proposed marriage?____________________________________________

____________________________________________________________________________________________________

____________________________________________________________________

_________________________

Signature of Groom

Date

I, the undersigned, declare that the groom whose signature is affixed above appeared before me personally on the date given

above; that I proposed to him individually all of the above questions under oath and personally recorded the answers given; that no

one else was present during the questioning; that I have on file all necessary documents, and that the groom has been instructed in

accord with the law of the Church.

____________________________________________________________________

_________________________

Signature of Priest or Deacon

Date

Parish Seal

PREVIOUS MARRIAGE(S) OF GROOM

With whom:

(1)_____________________________________________ (2)_____________________________________________

Date of Marriage

(1)_____________________________________________ (2)_____________________________________________

Place

(1)_____________________________________________ (2)_____________________________________________

Before whom?

(1)_____________________________________________ (2)_____________________________________________

How did the bond of this marriage cease?

(1)_____________________________________________ (2)_____________________________________________

If a former spouse is dead, give the date of death and obtain death certificate.

(1)_____________________________________________ (2)_____________________________________________

If a former marriage was dissolved or declared null by the Church, an official document from the Church Court must be

presented and its protocol number given here.

(1)_____________________________________________ (2)_____________________________________________

Are you bound by any natural obligations to a former spouse or children?______________________________________

If yes, are you fulfilling these?________________________________________________________________________

Page 2 of 4

Form A Pre-Nuptial Questionnaire Page 2