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

Wedding Date
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 *
example@example.com
 
Employer/Occupation
 
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: *
 
 
 
©2021 Daphne Software, Inc.