Redeemer Church
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Premarital Counseling Request-Groom
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Registrant
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Family Member to Register
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Campus
Utica
Albany
Rome
Syracuse
International
Campus is required.
Home
Home is required.
Mobile
Fiance(e)'s First & Last Name
Fiance(e)'s First & Last Name is required.
Fiance(e)'s Address
Fiance(e)'s Address is required.
Fiance(e)'s Phone
Fiance(e)'s Phone is required.
Fiance(e)'s Email
Email address is not valid
Fiance(e)'s Email is required.
How long have you dated?
How long have you dated? is required.
What is the date you are planning for the wedding?
What is the date you are planning for the wedding? is required.
What is the time of the wedding?
What is the time of the wedding? is required.
Campus location of the wedding?
Utica
Albany
Rome
Syracuse
International
Off Site
Campus location of the wedding? is required.
Where is the reception being held?
Which pastor from Redeemer would you like to officiate your wedding? (Subject to Availability)
Which pastor from Redeemer would you like to officiate your wedding? (Subject to Availability) is required.
What service do you attend most often?
Utica-Saturday 6pm
Utica-Sunday 9am
Utica-Sunday 11am
Rome-Sunday 10am
Albany-Sunday 9am
Albany-Sunday 11am
Syracuse-Sunday 10:30am
What service do you attend most often? is required.
Do you serve in a ministry at Redeemer Church? If so, please describe.
Do you serve in a ministry at Redeemer Church? If so, please describe. is required.
Are you a member of Redeemer?
Are you a member of Redeemer? is required.
Do you attend a small group at Redeemer Church?
Yes
No
Do you attend a small group at Redeemer Church? is required.
If you attend a small group, who is your leader?
Tell us about your current relationship with God or your current spiritual desires/concerns.
Tell us about your current relationship with God or your current spiritual desires/concerns. is required.
Have you been married before? If so, for how long and when did the marriage end?
Have you been married before? If so, for how long and when did the marriage end? is required.
Do you have children? If so, how many and what are their ages?
Do you have children? If so, how many and what are their ages? is required.
Did you download the Marriage Class Covenant from the website?
Yes
No
Did you download the Marriage Class Covenant from the website? is required.
Do you agree with all 8 points of the Marriage Class Covenant?
Yes
No
Do you agree with all 8 points of the Marriage Class Covenant? is required.
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