Pre Marital Counseling Sign Up
Please fill out this form and click submit. Make sure to bring your Bibles and notepad to each session.
Email (To send confirmation to)
*
This address will receive a confirmation email
Wedding Of:
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Husband (Section 1)
Name
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Address (Where you currently live)
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
Age
*
Appoximate Date when you accepted Christ as your Personal Saviour?
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Your Occupation
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Have you been married before?
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Please select all that apply.
Yes
No
If yes how many times?
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Do you have any children or step children?
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If yes list names and ages of them
*
List any questions you might have for the Pastor
*
Wife ( Section 2)
Name
*
Address (Where you currently live)
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Age
*
Approximate date you accepted Christ as your Personal Saviour?
*
Your Occupation
*
Have you been married before?
*
Please select one option.
Yes
No
If yes how many times?
*
Do you have any children or step children?
*
If yes list the names and ages of them
*
List any questions you might have for the Pastor
*
Rehearsal (Section 3)
Rehearsal location
*
Date and Time of Rehearsal
*
Do you request Pastor and his Wife Amanda to attend Rehearsal Dinner?
*
If yes please provide address for location of Dinner
*
Wedding (Section 4)
Location
*
Date & Time
*
Will other ministers be involved in Wedding?
*
Please select all that apply.
Yes
No
Do you prefer Traditional Vows or your own vows?
*
If yes please list names and Contact Info
*
What color(s) do you want Pastor to wear?
*
Reception Address
*
Submit
Description
Please fill out this form and click submit. Make sure to bring your Bibles and notepad to each session.
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