Pre-Marital Counseling Questionnaire
Wedding Application
WHEELERSBURG BAPTIST CHURCH
Bride: Groom:
Name: ________________________________ Name: ______________________________
Address: ______________________________ Address: ____________________________
______________________________ ____________________________
Phone: _______________________________ Phone: _____________________________
Employer: _____________________________ Employer: ___________________________
Birthdate: _____________________________ Birthdate: ___________________________
Parents: ______________________________ Parents: ____________________________
Address: ______________________________ Address: ____________________________
______________________________ ____________________________
1. How long have you known one another? _________________________________________
2. How long have you been engaged? _____________________________________________
3. When are you planning to be married? __________________________________________
4. Do you plan to: Rent _____ Buy _____ Build _____ Other? ________________
Where? ___________________________________________________________
5. Do you have a personal relationship with Jesus Christ? Bride _____
Groom _____
Bride’s Testimony:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Groom’s Testimony:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
6. Are you a church member? If so, where? Bride _________________________________
_________________________________
Groom ________________________________
_________________________________
7. Have you decided where you will be attending church following your marriage? __________
Where? ___________________________________________________________________
8. What do you hope these sessions together will provide for you?_______________________
__________________________________________________________________________
__________________________________________________________________________
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AGREEMENT OF MARRIAGE:
It is the desire of Wheelersburg Baptist Church and the pastor to officiate and/or assist at your wedding, and to help you establish a happy, lifetime marriage. The following provisions have been found important ingredients to assist in this goal, and are minimum guidelines by which you agree to proceed with your wedding plans.
1. I have received Jesus Christ as my personal Lord and Savior.
2. My parents have given their consent to our marriage.
3. We agree that there will not be alcoholic drinks at the rehearsal dinner or wedding
reception. We will not use offensive or objectionable music.
4. We are not expecting a baby. If we are expecting prior to our wedding it will be our
responsibility to notify the minister. We understand that under these conditions he may
not be able to perform the ceremony.
5. We agree to be involved in at least four counseling sessions prior to our marriage.
______________________________ ______________________________
Groom Bride
______________________________
Pastor
Date: ________________
COUNSELING SESSIONS:
1. Date: ___________ Covered: ________________________________________________
________________________________________________
2. Date: ___________ Covered: ________________________________________________
________________________________________________
3. Date: ___________ Covered: ________________________________________________
________________________________________________
4. Date: ___________ Covered: ________________________________________________
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5. Date: ___________ Covered: ________________________________________________
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6. Date: ___________ Covered: ________________________________________________
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