Non-Resident Clergy Application for Episcopal Consent to Officiate at a Marriage Bishop Signature

Application submitted by(Required)

First Last

On Date(Required)

Phone(Required)

Email(Required)

Parish Address(Required)

Street Address Address Line 2 City State ZIP Code

I apply for consent to solemnize the marriage of:

Name 1(Required)

First Middle Last Suffix

Marital Status - Name 1(Required)

single

divorced

Previous Marriages for Name 1(Required)

Please provide the number of previous marriages.

Name 2(Required)

First Middle Last Suffix

Marital Status - Name 2(Required)

single

divorced

Previous Marriages for Name 2(Required)

Please provide the number of previous marriages.

Proposed Date of Marriage(Required)

Proposed Location(Required)

Bishop's Signature

The Rt. Rev. Mariann Edgar Budde, D.Min.
Bishop of Washington

Today's Date

Phone

This field is for validation purposes and should be left unchanged.

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