Male's Information (Groom):

 
Name *

(First & Last)
 
Date of Birth? *

 
Phone # ? *

(Primary Contact #)
 
Street Address? *

 
City? *

 
State? *

 
Zip? *

 
Which of the following applies? *


 
Do you have children? *

     
 
If yes, please list their names and ages *

 
Do you attend Bayside Midtown Church? *

     
 
That's Great! How long? *

 
Please Describe how and when you became a Christian. *

 
Female's Information (Bride):

 
Name *

(First & Last)
 
Date of Birth? *

 
Phone # ? *

(Primary Contact #)
 
Street Address? *

 
City? *

 
State? *

 
Zip? *

 
Which of the following applies? *


 
Do you have children? *

     
 
If yes, please list their names and ages *

 
Do you attend Bayside Midtown Church? *

     
 
That's Great! How long? *

 
Please Describe how and when you became a Christian. *

 
Wedding Date & Time? *

 
Wedding Venue? *

 
Wedding Location? *

(City and State)
 
Please select one of the following... *


 
Please respond to the following statement: *

This form was filled out with the knowledge and consent of both the bride and groom.
This form was filled out with the knowledge and consent of both the bride and groom.
     
Thank you for completing the question portion of the Pre-Marital Class registration.
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