Premarital Counseling

Bride's Name

First Name

Last Name

Bride's Email

Bride's Cell Phone

(###)

###

####

Bride's Address

Street Address, City, Zip Code

Bride's Birth Date

YYYY

Groom's Name

First Name

Last Name

Groom's Email

Groom's Cell Phone

(###)

###

####

Groom's Address

Street Address, City, Zip Code

Groom's Birth Date

YYYY

Date of Wedding

YYYY

Availability for Classes

Please provide days of the week and times that both bridge and groom are generally available to help us plan for upcoming classes.

Previous Marriages

Have either the bride or groom been married previously?

Are you currently living with your future spouse?

Do you have children together?

Do either of you have children from another relationship?

Bride No

Bride Yes

Groom No

Groom Yes

If you have children, what are their ages?