Groom's Name: Age:

Address:

City: State: ZIP:

Home Phone: Work Phone:

Bride's Name: Age:

Address:

City: State: ZIP:

Home Phone: Work Phone:

Date of Application Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006 2007 2008 2009

Requested Date of Wedding Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006 2007 2008 2009

Pastor to Perform Wedding

Wedding Location

Reception Location

Is the Groom a professing Christian? That is, has he come to the Lord in prayer; confessed that he is a sinner in need of a savior, declared his faith in the death of Christ on the cross as payment for the penalty of his sin, declared his belief in the resurrection of Christ as his hope for salvation, and committed himself to loving and serving Jesus as the Lord of his life? Yes No Unsure

Is the Bride a professing Christian? That is, has she come to the Lord in prayer; confessed that she is a sinner in need of a savior, declared her faith in the death of Christ on the cross as payment for the penalty of her sin, declared her belief in the resurrection of Christ as her hope for salvation, and committed herself to loving and serving Jesus as the Lord of her life? Yes No Unsure

We request the church's blessing and participation in our wedding, and agree to make Christ's presence the central focus of our wedding ceremony and reception. We have read the church's Wedding Policy and agree to its requirements without reservation.

Groom's Agreement and Initials
Bride's Agreement and Initials