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: ________________________________________________

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3. Date: ___________ Covered: ________________________________________________

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4. Date: ___________ Covered: ________________________________________________

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5. Date: ___________ Covered: ________________________________________________

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6. Date: ___________ Covered: ________________________________________________

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