Brophy Chapel Reservation Form
Please complete all the requested information below.
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Email *
Bride's Personal Information
Bride's Last Name *
Bride's Middle Name
Bride's Legal First Name *
Bride's Nickname (if any)
Graduate of Xavier? (year)
Bride's Home Address *
Bride's City *
Bride's State *
Bride's ZIP Code *
Bride's Cell Phone
Bride's Email *
Bride's Religion *
Bride Baptized?
Clear selection
Name of parish Bride now attends and/or is registered in
Groom's Personal Information
Groom's Last Name *
Groom's Middle Name
Groom's Legal First Name *
Groom's Nickname (if any)
Graduate of Brophy? (year) *
Groom's Home Address *
Groom's City *
Groom's State *
Groom's ZIP Code *
Groom's Cell Phone *
Groom's Email *
Groom's Religion
Groom Baptized?
Clear selection
Name of parish Groom now attends and/or is registered in
Name of Priest/Deacon performing ceremony
Please include Parish and contact information
Name of person(s) doing your marriage preparation
Please include name and Parish information
List 1st Choice of Date for Ceremony
1st Choice Time:
Clear selection
List 2nd Choice of Date for Ceremony
2nd Choice Time:
Clear selection
Chapel Information
The chapel fee for a wedding is $1500.  Send a check made out to Brophy Chapel to:

Brophy Chapel
Attn: Susan DeLozier
4701 North Central Avenue
Phoenix, AZ 85012

Your wedding date is NOT confirmed until a payment is received.
For credit card payment:
(an email with a link for online payment will be sent)
Chapel Guidelines *
For Chapel Guidelines, please click here:
A copy of your responses will be emailed to the address you provided.
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