Prairie Rose Farm and Floral
Small Wedding + Elopement Intake Form
Land-based florals for small weddings & elopements
For couples having small and intimate ceremonies seeking artfully designed, locally grown floral adornment. Once we have received your intake form we will schedule a complimentary phone consultation to proceed with a floral proposal and booking details.
Your name
*
First Name
Last Name
Pronouns (optional)
Your partner's name
*
First Name
Last Name
Pronouns (optional)
Best email
*
example@example.com
Best phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Day of contact name
*
Day of contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date and time of wedding
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Location or venue of ceremony
*
Location or venue of reception
*
For weddings under 1k we require on farm pick-up. Will you or a family member be able to pick-up the florals? If your wedding is over that amount would you be interested in delivery?
*
Event photographer
*
Photographer's email address
*
May we request to access photos of your wedding florals for our social media & website?
*
Yes
No
How did you hear about us?
*
What is your estimated floral investment? Please refer to our A la Carte menu on our website for pricing estimates.
*
A la Carte Floral Adornment
Our A la Carte pricing is listed on our website on the Elopements + Small Weddings page.
Personal Flowers (Select the items & quantities you would like):
Rows
Quantity
Nearlywed Bouquet
Hand-dyed trailing silk ribbon for nearlywed bouquet
Nearlywed Boutonniere
Nearlywed full floral lapel
Nearlywed pocket square
Wedding party bouquet
Hand-dyed tailing silk ribbon for wedding party bouquet
Wedding party boutonniere
Petite bouquet (perfect as a flower-child or toss bouquet)
Wrist corsage (parents, grandparents, wedding party, etc.)
Boutonniere (officiant, parents, etc.)
Hair comb
Flower crown
Petite flower crown (perfect for flower-child)
Loose hair flowers
Floral dog collar
Ceremony & Reception Flowers (Select the items & quantities you would like):
Rows
Quantity
Loose flower petals
Cake flowers
Mini centerpiece
Small centerpiece
Medium centerpiece
Large centerpiece
Grand centerpiece
Bud vases
What color palette best suits your celebration?
*
Dark and Moody
All Whites
Bright and Colorful
Pastels
All Greenery
Earth Tones
Jewel tones
Muted Colorful
Designer's choice
Monochrome
While we are well versed in various design methods, we are known for a distinct seasonal design style that emphasizes the natural language of flowers through an artistic approach. Please choose any of these directions of style that best suit you for your wedding day.
Wildflower
Whimsical
Modern
Sculptural
Garden
Seasonal
Minimal
Wild
Airy
Lush
Textural
List any specific flowers you love. Due to the nature of our land-based practice, we do not guarantee specific flowers, but will reference your preferences to curate similar blooms from what is in season.
*
List any specific flowers you don't love.
*
Please add any relevant photos of inspiration or mood.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If you have a link to an inspiration board, please write it here.
Do you have any additional questions or comments before our phone call?
Submit
Should be Empty: