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Pre-Marital Counseling Questionnaire Wedding Application WHEELERSBURG BAPTIST CHURCH Bride: Groom: Name: ________________________________ Name: ______________________________ Address: ______________________________ Address: ____________________________ ______________________________ ____________________________ Phone: _______________________________ Phone: _____________________________ Employer: _____________________________ Employer: ___________________________ Birthdate: _____________________________ Birthdate: ___________________________ Parents: ______________________________ Parents: ____________________________ Address: ______________________________ Address: ____________________________ ______________________________ ____________________________ 1. How long have you known one another? _________________________________________ 2. How long have you been engaged? _____________________________________________ 3. When are you planning to be married? __________________________________________ 4. Do you plan to: Rent _____ Buy _____ Build _____ Other? ________________ Where? ___________________________________________________________ 5. Do you have a personal relationship with Jesus Christ? Bride _____ Groom _____ Bride’s Testimony: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Groom’s Testimony: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 6. Are you a church member? If so, where? Bride _________________________________ _________________________________ Groom ________________________________ _________________________________ 7. Have you decided where you will be attending church following your marriage? __________ Where? ___________________________________________________________________ 8. What do you hope these sessions together will provide for you?_______________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
AGREEMENT OF MARRIAGE: It is the desire of Wheelersburg Baptist Church and the pastor to officiate and/or assist at your wedding, and to help you establish a happy, lifetime marriage. The following provisions have been found important ingredients to assist in this goal, and are minimum guidelines by which you agree to proceed with your wedding plans. 1. I have received Jesus Christ as my personal Lord and Savior. 2. My parents have given their consent to our marriage. 3. We agree that there will not be alcoholic drinks at the rehearsal dinner or wedding reception. We will not use offensive or objectionable music. 4. We are not expecting a baby. If we are expecting prior to our wedding it will be our responsibility to notify the minister. We understand that under these conditions he may not be able to perform the ceremony. 5. We agree to be involved in at least four counseling sessions prior to our marriage. ______________________________ ______________________________ Groom Bride ______________________________ Pastor Date: ________________ COUNSELING SESSIONS: 1. Date: ___________ Covered: ________________________________________________ ________________________________________________ 2. Date: ___________ Covered: ________________________________________________ ________________________________________________ 3. Date: ___________ Covered: ________________________________________________ ________________________________________________ 4. Date: ___________ Covered: ________________________________________________ ________________________________________________ 5. Date: ___________ Covered: ________________________________________________ ________________________________________________ 6. Date: ___________ Covered: ________________________________________________ ________________________________________________ |