Wedding Pastor Request Form

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