Wedding Officiating Request

Name

First NameLast Name
Fiancé or Fiancée Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about Jason and Ros?

Other
Are you a Veteran, First Responder, or currently serving as Active Duty Military Personnel?
Event Name
Friend/Colleague's Name

First NameLast Name
City
State
What is the wedding date?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Where is the wedding location?
Have you had pre-marital counseling?
Marriage can be challenging, even for the most committed couples. Premarital counseling helps you prepare for those challenges and build a strong foundation for lasting success. To support that goal, we require completion of a premarital counseling program before officiating your wedding.
Please provide any additional information to help us understand your specific needs.
IMPORTANT: Select the Submit button below AFTER booking your consultation.
Should be Empty:

IMPORTANT: Select the Submit button below AFTER booking your consultation.