Pre-Marital Counseling Request Form (Groom-To-Be)
*All information submitted will remain confidential.

Wedding Date
Groom-To-Be's Name *
First Name Last Name
Bride-To-Be's Name *
First Name Last Name
Current Mailing Address *
Street Address
Street Address Line 2
City State
Postal / Zip Code  
Best Contact Phone Number *
( ) -
Phone Number
Groom-To-Be's Date of Birth *
Email *
Education (Level, School, Major)
Are you a member of Grace Church? *
Humble Tomball
Garden Oaks Liberty
Not a Member    
If you are a member, how long have you attended?
What has been your involvement at Grace Church?
Women of Grace Men of Grace
OASIS Connect Groups
Serve Team Grace Marriage & Family
Have you been married previously? *
Do you have any children from a previous marriage or relationship? *
Do you have any children with your fiancé? *
Please list ages of children *
How long have you dated your fiancé? *
How long have you been engaged?
Do you currently live together? *
Have you ever been engaged to someone else? *
Are you a Born-Again Christian? *
Do you have any apprehensions about getting married? If so, please explain: *
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