Form Center

2. Spouse A*
3. Spouse B*
5. Address, Including City and State. *
6. Spouse A Phone Number*
   (ex: xxx-xxx-xxxx)
8. Spouse B Phone Number
   (ex. xxx-xxx-xxxx)
9. Email Address
11. Requested Marriage Location*
    -- Select One --North Town Coffeehouse, 32 N. Front Street, Yakima, Wa. Other Location
13. If other location, please specify the location.
15. Do you wish to have the ceremony in Spanish? *

    1. Yes
    2. No
16. Requested Date and Time of Ceremony*
    Please enter the date and time you would like the ceremony to be. The requested date and time is subject to approval by the Judge based on his or her availability.
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field