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
Ceremony
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
MM
/
DD
/
YYYY
1st Choice Time:
Clear selection
List 2nd Choice of Date for Ceremony
MM
/
DD
/
YYYY
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: http://sites.brophyprep.org/docs/chapel-guidelines.pdf
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A copy of your responses will be emailed to the address you provided.
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