Rev Kathryn Rayner
Preliminary Questionnaire
Items with an asterix (*) are required.

Ceremony Information
*Date:
*Time: :
*Location:
 
Bride Information
*Name:
*Age:
Faith:
Children:
(name & age)
*Marriage: first   second   more
 
Groom Information
*Name:
*Age:
Faith:
Children:
(name & age)
*Marriage: first   second   more
 
Contact Information
*Home Phone:
Cell Phone:
Work Phone:
*Email:
*Address:
 
Preferences: (what type of service: religious, spiritual, romantic, etc.)
 
If you listed children above, would you like them to be a part of the ceremony?
yes   no
 
Other Comments:
 
*How did you find me?

Other:

 

*Would you like to receive premarital education using the PREPARE program?
yes   no