Premarital Application

subpages

This site requires flash

Premarital Class Application

* Today's Date  

  PERSONAL INFORMATION
* Bride's Full Name  
* Birth Date  
* Street Address  
* City  
* State  
* Zipcode  
* Home Phone  
Cell Phone  
Work Phone  
* Email  
* Previously Married?  
If Yes, How Many Times?  
* Widowed?  
* Divorced?  
* Children?  
If Yes, How Many?  
Child 1 Age  
Child 2 Age  
Child 3 Age  
Child 4 Age  

* Does Bride Have a Church Affiliation?  
If Yes, Name of Church?  
* Are You a Member?  
* Attend Regularly?  
* I am a Christian  
* I am a Committed Christian  
* I Believe in God  
I Believe in God but:  
* I Would Believe in God if Shown Proof  

* Groom's Full Name  
* Birth Date  
* Street Address  
* City  
* State  
* Zipcode  
* Home Phone  
Cell Phone  
Work Phone  
* Email  
* Previously Married?  
If Yes, How Many Times?  
* Widowed?  
* Divorced?  
* Children?  
If Yes, How Many?  
Child 1 Age  
Child 2 Age  
Child 3 Age  
Child 4 Age  

* Does Groom Have a Church Affiliation?  
If Yes, Name of Church?  
* Are You a Member?  
* Attend Regularly?  
* I am a Christian  
* I am a Committed Christian  
* I Believe in God  
I Believe in God but:  
* I Would Believe in God if Shown Proof  

  RELATIONSHIP INFORMATION
* How Long Have You Known Each Other?  
* Seriously Dating?  
If Yes, How Long?  
* Date Engaged  
* Cohabitating?  
* Wedding Date  
* Premarital Classes at:  

  WEDDING INFORMATION
* Will Your Wedding be at Woodmen Valley Chapel?  
If Yes, Woodmen Pastor's Name  
* Is Your Wedding Elsewhere?  
If Yes, Location?  
Other Officiating Pastor's Name  
Church Name  

* How Did You Find Woodmen Valley Chapel?  
* How Did You Hear About the Premarital Program?  
* Have You Participated in Other Premarital Programs?  
If Yes, Name/Location of Other Program(s):  
Special Needs, Expectations or Goals We Can Help Meet?  

 


*** You must have JavaScript enabled to use this form ***