Wedding Pastor Request Form
*All information submitted will remain confidential.

Bride's Information
Name *  
First Name Last Name
 
Best Contact Phone Number *
( ) -
Phone Number
 
Date of Birth *
 
Email *
example@example.com
 
 
 
 
Groom's Information
Name *
First Name Last Name
 
Best Contact Phone Number *
( ) -
Phone Number
 
Date of Birth *
 
Email *
example@example.com
 
 
 
 
Wedding Information
Projected Wedding Date
 
Projected Wedding Time
 
 
Requested Rehearsal Date
 
Requested Rehearsal Time
 
Name of Wedding Location
 
Wedding Location Address
Street Address
 
Street Address Line 2
 
City State
 
 
Postal / Zip Code  
 
 
 
Please note: Pastor Brett Jones and Pastor Scott Jones have asked that all wedding requests be referred to other staff pastors or service pastors. While we take your preferences into account, we cannot guarantee that the officiating pastor of your choice will be available for your date, so we may assign another who is.
 
Pastor: 1st Choice
 
Pastor: 2nd Choice
 
Additional Comments
 
 
 
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