Ancaster Mill Officiant Request/Confirmation
Submitted by
E-mail
*
Date Submitted
Property
Name 1
*
First Name
Last Name
Gender
*
Female
Male
Other
Name 2
*
First Name
Last Name
Gender
*
Female
Male
Other
Ceremony Year
*
Please Select
2024
2025
2026
2027
2028
Ceremony Date & Time
*
/
Month
/
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Onsite Location
*
ie: Miller's Chapel, Streamside, Millview, 1812, Governor, Other
Couple E-mail
*
Secondary E-mail
Phone Number
*
Phone number (only need to input number)
Secondary Phone Number
Phone number (only need to input number)
Officiant
Confirmed by Trish
Officiant E-mail
Confirmed by Trish
Venue Notes
Admin Notes
Trish Only to fill out
Trish Email
example@example.com
Submit
Print Form
Should be Empty: