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Pre-Marital Counseling Request Form (Groom-To-Be)
*All information submitted will remain confidential.
Wedding Date
-
Month
-
Day
Year
Date
Groom-To-Be's Name
*
First Name
Last Name
Bride-To-Be's Name
*
First Name
Last Name
Current Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Contact Phone Number
*
Please enter a valid phone number.
Groom-To-Be's Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Employer/Occupation
Education (Level, School, Major)
Are you a member of Grace Church?
*
Humble
Garden Oaks
Tomball
Liberty
Grace En Espanol
Not a Member
If you are a member, how long have you attended?
*
What has been your involvement at Grace Church?
Women of Grace
Men of Grace
OASIS
Lifegroup
ONETeam
Other
Have you been married previously?
*
Please Select
Yes
No
Do you have any children from a previous marriage or relationship?
*
Please Select
Yes
No
Do you have any children with your fiancé?
*
Please Select
Yes
No
Please list ages of children
*
How long have you dated your fiancé?
*
How long have you been engaged?
Do you currently live together?
*
Please Select
Yes
No
Have you ever been engaged to someone else?
*
Please Select
Yes
No
Are you a Born-Again Christian
*
Please Select
Yes
No
Do you have any apprehensions about getting married? If so, please explain:
*
Submit
Should be Empty: