MARRIAGE APPLICATION

Application to initiate marriage request.

BRIDE INFORMATION

Full Name

*

Address

*

Phone

*

Age

*

Marital Status

*

Please select one option.

Single Widowed Divorced

Life Connection Church Member?

*

Please select all that apply.

Yes No

What Last Name Will The Bride Be Using?

*

GROOM INFORMATION

Full Name

*

Address

*

Phone

*

Age

*

Marital Status

*

Please select one option.

Single Widowed Divorced

Life Connection Church Member?

*

Please select all that apply.

Yes No

PREFERRED WEDDING DATES

1st Choice

*

Time Preferred

*

2nd Choice

*

Preferred Marriage Site-

*

Please select one option.

Life Connection Church Other

Time Preferred

*

Wedding Rehearsal Date

*

Time Preferred

*

Officiating Pastor

*

Please select one option.

Pastor Stuart Welch Pastor Sabino Franco Pastor David Embree Other

Other Information

*

Description

Application to initiate marriage request.

Please Fix the Following

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