Elora Mill Officiant Request/Confirmation
Submitted by
E-mail
*
Please Select
events@eloramill.ca
Choose from options
Submission Date
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
2025
2026
2027
2028
2029
Ceremony Date & Time
*
/
Month
/
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Onsite Location
*
Couple E-mail
Secondary E-mail
example@example.com
Phone Number
Phone number (only need to input numbers)
Secondary Phone Number
Phone number (only need to input numbers)
Officiant
Confirmed by Trish
Officiant E-mail
Confirmed by Trish
Venue Notes
Admin Notes
Trish to fill out only
Trish Email
example@example.com
Submit
Print Form
Should be Empty: