Requesting Marriage Coaching for Couples Preparing for Marriage
Her Name:*
Her Address:*
His Name:*
His Address:*
Her Home Phone:*
His Home Phone:
Her Email:*
His Email:*
Planned Wedding Date:*
Her Birthdate and Current Age:*
His Birthdate and Current Age:*
Members of Cherry Hills Community Church?*
Yes
No
Do you have children?*
Yes
No
If yes, please provide ages and gender:
Have either of you been previously married?*
Yes
No
If yes, please explain briefly:
How would you rate your relationship? (5 being very strong)*
1
2
3
4
5
Why do you desire to be coached by another couple?
Do you have any unusual scheduling issues?
Please describe the most outstanding crisis you have experienced as a couple (if any) and how you dealt with it. Would you prefer to be matched with a couple that has had similar experiences in their marriage?
How would you rate your individual spiritual life? (Your personal relationship with Christ?)*
Thank you for your interest, a member of our Marriage Ministry will contact you soon.
* Indicates field is required.