Pre-Marriage Mentorship Groom Registration Groom’s Name * First Name Last Name Groom's Date of Birth * MM DD YYYY Groom's Age * Bride's Name First Name Last Name Bride's Date of Birth * MM DD YYYY Bride's Age * Groom's Address * Groom's Email * Groom's Phone Number * (###) ### #### Groom's Current Marital Status * Never Married Separated Divorced Widowed If divorced or widowed, for how long? * Planned Date/Month of Wedding * Have you confirmed the date and location with the Church & Pastor? * Yes No Proposed Church Name * Proposed Church Location * Officiating Pastor (if known) * Do you consider Lighthouse Church to be your home church? * Yes No If YES, do you serve on the Dream Team at Lighthouse? * Yes No If YES, what team do you serve on? * If Lighthouse Church is NOT your home church, what Church do you currently attend? * Where is your home Church located? (If Lighthouse Church is NOT your home Church) * How long have you attended your home Church? (If Lighthouse Church is NOT your home Church) * What team do you serve on at your home Church? (If Lighthouse Church is NOT your home Church) * Have you surrendered your life to Christ and received Jesus personally as your savior? * Yes No Uncertain If YES, please provide the date? * MM DD YYYY Have your parents (father & mother) consented to your planned marriage? * Yes No Complicated Primary reference name (#1 person that can attest to your relationship) * Primary reference's phone number * (###) ### #### How are you related to your primary reference? * Secondary reference name (#2 person that can attest to your relationship) * Secondary reference's phone number * (###) ### #### How are you related to your secondary reference? * Is there anything else we should be aware of? * Thank you!
