Contact Information

Are you the Bride or Groom? (required)
 Bride Groom

Your Name (required)

Your Age

Address

City

State

Zip

Phone (required)

Email (required)

Are you a CCC member?
 Yes No

CCC Member Since?

Wedding Questionnaire

Describe your relationship with God and who Jesus is to you.

If you died today, do you know for certain you would go to Heaven?
 Yes No

Do you believe the Bible is the authority to guide your personal life?
 Yes No

If no, what is the reason for your uncertainty

Are you willing to study God's design for marriage, meet with a pastor and attend our pre-marital class?
 Yes No

Wedding Information

How long have you known your fiance?

How long have you been engaged?

Why do you want to marry your fiance? (required)

Are you currently living together? (required)
 Yes No

Have you been married before? (required)
 Yes No

If yes, how long have you been divorced?

If yes, how long were you previously married?

Briefly describe the reason for divorce

Do you have children? (required)
 Yes No

Will they be living with you?
 Yes No