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.