Small Weddings at Centennial House Bed and Breakfast
Email address *
Ceremony Date *
Ceremony Time (90 minute sessions) *
Full Name of Partner #1 *
Full Address of Partner #1 *
Phone Number of Partner #1 *
Email of Partner #1 *
Full Name of Partner #2 *
Full Address of Partner #2 *
Phone Number of Partner #2 *
Email of Partner #2
Full Name of Witness #1
Full Name of Witness #2
We are legally able to marry in Ontario. *
Would you like to arrange a live property viewing before proceeding with reserving this date and time? *
When would you like to view the property? (please provide a few options that are convenient for you) or skip this question.
Are you ready to make the $100 retainer/deposit payment to secure a date and time? *
What's Next
• A $100 non-refundable retainer/deposit (if you have to cancel due to Covid-19, retainers are returned) is required to reserve a date and time (an online invoice can be provided for credit card payment or you can e-transfer or you can make a payment by phone 289-407-6269).
• You will receive a Receipt once payment is confirmed.
• An Agreement Form will be provided for your approval and submission.
• An Information Form will be provided for your review regarding the details of your wedding ceremony; including the type of vows, special elements and music, etc.
• Two Consultations: An Online Video or Phone Conference Call will be arranged for a consultation now and one week prior to your wedding ceremony.

Personal Information contained on this form, is collected under the authority the Marriage Act, R.S.O. 1990, c. M3 and will be used for the purposes of performing a marriage ceremony. Your personal information will not be shared for any other purpose.

I look forward to helping you create a lovely marriage ceremony and wonderful memory on your wedding day. ~ Chaplain Diane Bubanko
Additional Questions or Comments
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