Marriage Intake Form
Please complete the form below if you are engaged and currently planning to be married, and will require the services of our ministerial staff to perform or participate in your wedding ceremony
Name of the Bride
*
First Name
Last Name
Phone Number of the Bride
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email of the Bride
*
example@example.com
Address of the Bride
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of the Groom
*
First Name
Last Name
Phone Number of the Groom
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email of the Groom
*
example@example.com
Address of the Groom
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Members or Regular Attenders of EBC? (Bride)
*
Yes
No
Bride, if "No", please list the name of your home church and the name of your Pastor.
Members or Regular Attenders of EBC? (Groom)
*
Yes
No
Groom, if "No", please list the name of your home church and the name of your Pastor.
Have you completed premarital counselling?
*
Yes
No
If "Yes", please indicate the date and with whom you completed the counselling.
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Wedding Ceremony Information
Date of Ceremony
*
-
Month
-
Day
Year
Date
Time of Ceremony
*
Name of person responsible for wedding arrangements
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Are you seeking to use EBC for your ceremony?
*
Yes
No
If "No", please list the location and address of the Wedding Ceremony
Address of Wedding Ceremony
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Location of Reception
Address of Reception
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please indicate which services you desire
*
Premarital Counselling only
Premarital Counselling & Wedding Officiant
Submit
Should be Empty: