Wedding Request Form

Wedding Request Form
Her Name:*

First NameLast Name
His Name:*

First NameLast Name
Best Contact Number:*
Email:*
Check all that apply:

Getting MarriedRenewing VowsPremarital CounselingMarriage CounselingOther
Your Primary Campus:*

AllentownBethlehemEastonMacungieNazarethReading
Event Date:*

MonthDayYear
Time:*

Minutes

AM/PM Option
Please choose the campus where you would like to have your wedding ceremony:*
Please be advised that your first campus choice may not be available due to seasonal demands and previously scheduled events.
If your ceremony will be held at an Off-Site, please enter the address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please choose the Pastor you would like to officiate your wedding ceremony:
You may request any of our Life Church Pastors or ministers; however, please be advised that each pastor has a unique schedule and may not be available for your specific date. *Pastors Randy and Maribel Jon and Andrea are not listed due to the complexity of their current schedules.
Have you chosen your current Campus Pastor?

YesNo
If you would like to choose a Pastor or Minister not on the list above, please enter their name and campus here:
I have read the Statement of Marriage listed on the Life Church Statement of Faith page (https://www.lifechurchlv.org/what-we-believe).
Should be Empty: