Application Entry

Marriage Mentoring Request

Bride First Name

Bride Last Name

Bride Address

Bride Email

Bride Phone

Choose the Christ Chapel Campus you regularly attend, if applicable.

Bride Campus

Church I attend (if not Christ Chapel)

Bride Marital Status

Bride Age

Groom First Name

Groom Last Name

Groom Address

Groom Email Address

Groom Phone

Choose the Christ Chapel Campus you regularly attend, if applicable.

Groom Campus

Church I attend (if not Christ Chapel)

Groom Marital Status

Groom Age

Wedding Date

Are you getting married at Christ Chapel?

Yes No

Please read Christ Chapel's Marriage Policyand acknowledge having read it below.

We acknowledge that we have read and agree to Christ Chapel's Marriage Policy.

Yes No

Notes/Messages

Preferred Contact:

Bride Groom

Preferred Medium:

Email Phone

Submit