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Premarital Application

Application Entry

Bride's Information

Groom's Information

Bride's First Name

Bride's First Name is required.

Bride's Last Name

Bride's Last Name is required.

Bride's Address

Bride's Address is required.

Bride's Phone

Bride's Phone is required.

Bride's Email

Email address is not valid

Bride's Email is required.

Groom's Information

Groom's First Name

Groom's First Name is required.

Groom's Last Name

Groom's Last Name is required.

Groom's Address

Groom's Address is required.

Groom's Phone

Groom's Phone is required.

Groom's Email

Email address is not valid

Groom's Email is required.

Please answer the following questions.

They do not disqualify you from premarital counseling, but it will help our ministry staff understand any unique needs that should be addressed.

1. Do you both attend HDC?

Yes No

1. Do you both attend HDC? is required.

1a. If yes, which campus do you normally attend?

2. Have either of you been divorced?

Yes No

2. Have either of you been divorced? is required.

2a. If previously married please give details

2a. If previously married please give details is required.

3. Do you have children together or do either of you have children from a previous relationship?

Yes No

3. Do you have children together or do either of you have children from a previous relationship? is required.

3a. What are the ages of your children

3a. What are the ages of your children is required.

3b. Do they live with you?

Yes No

3b. Do they live with you? is required.

4. Are you currently living together?

Yes No

4. Are you currently living together? is required.

5. Are your parents in favor of this marriage?

Yes No

5. Are your parents in favor of this marriage? is required.

If Known:

Pastor you would like to officiate the wedding:

Wedding Date and Time:

Wedding Location:

HDC VV HDC HS Other

Wedding Location: is required.

If other, where?

Reception Location:

Please complete the captcha.

Email

info@highdesertchurch.com

Call

(760) 245-2415

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