Brophy Chapel Reservation Form
Please complete all the requested information below.
Email address *
Bride's Personal Information
Bride's Last Name *
Your answer
Bride's Middle Name
Your answer
Bride's Legal First Name *
Your answer
Bride's Nickname (if any)
Your answer
Graduate of Xavier? (year)
Your answer
Bride's Home Address *
Your answer
Bride's City *
Your answer
Bride's State *
Your answer
Bride's ZIP Code *
Your answer
Bride's Cell Phone
Your answer
Bride's Email *
Your answer
Bride's Religion *
Your answer
Bride Baptized?
Name of parish Bride now attends and/or is registered in
Your answer
Groom's Personal Information
Groom's Last Name *
Your answer
Groom's Middle Name
Your answer
Groom's Legal First Name *
Your answer
Groom's Nickname (if any)
Your answer
Graduate of Brophy? (year) *
Your answer
Groom's Home Address *
Your answer
Groom's City *
Your answer
Groom's State *
Your answer
Groom's ZIP Code *
Your answer
Groom's Cell Phone *
Your answer
Groom's Email *
Your answer
Groom's Religion
Your answer
Groom Baptized?
Name of parish Groom now attends and/or is registered in
Your answer
Ceremony
Name of Priest/Deacon performing ceremony
Please include Parish and contact information
Your answer
Name of person(s) doing your marriage preparation
Please include name and Parish information
Your answer
List 1st Choice of Date for Ceremony
MM
/
DD
/
YYYY
1st Choice Time:
List 2nd Choice of Date for Ceremony
MM
/
DD
/
YYYY
2nd Choice Time:
Chapel Information
The chapel fee for a wedding is $1200. 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
Required
A copy of your responses will be emailed to the address you provided.
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