participant registration

To participate in the request for marriage licenses at the County Clerk's office on February 12, please complete the form below.

Partner 1:
Title
 First name
 Last name
 Suffix
 Email
Partner 2:
Title
 First name
 Last name
 Suffix
 Email
Address
City
 State
 Zip Code
Phone (including area code)
number of years together
 number of children/grandchildren
Comments: