Form Section 1

Heading

DISTRICT COURT- 44TH JUDICIAL DISTRICT

DEREK W. MEINECKE

CHIEF DISTRICT JUDGE

JAMIE L. WITTENBERG

DISTRICT JUDGE

GARY W. DODGE

COURT ADMINISTRATOR

First Name *

Middle Name *

Last Name *

Spouse One Email Address

Spouse One Phone Number

First Name *

Middle Name *

Last Name *

Spouse Two Email Address

Spouse Two Phone Number

Spouse One

Spouse Two

Yes

Yes

Yes

Please list your preferred date & time. (Ceremonies are performed Fridays from 11 AM to Noon)

If you have any special requests, please indicate them below.