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Pre-Marital Counseling Form
Bride's Information:
First Name
Last Name
Address
Apt./Suite/Building #
City
State
Zip
Age
Phone Number
Email Address
Member of CPM?
Yes
No
Date Joined
Married Before?
Yes
No
How many times?
0
1
2
3
4
5
Groom's Information:
First Name
Last Name
Address
Apt./Suite/Building #
City
State
Zip
Age
Phone Number
Email Address
Member of CPM?
Yes
No
Date Joined
Married Before?
Yes
No
Groom How many times?
0
1
2
3
4
5
Wedding Ceremony Information:
Are you having your wedding at CPM?
*If yes, please request a facilities sheet from the Central Office.
Yes
No
*If not, where will it be held:
1st Ceremony Date Requested:
2nd Ceremony Date Requested:
Pastor requested for the ceremony:
