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Pre-Marital Counseling

- Step 1 of 2

Fiance's Details

Fiance's Details *

First

Middle

Last

Finance's Age

Proposed Wedding Date

Are you currently living together? *

Yes
No

Phone *

Secondary Phone

Fiance's Address

Address Line 1

Address Line 2

City

State

Zip Code

Fiance's Email

Are you a born again Christian? *

Yes
No

Are you a member of Royalhouse Chapel? *

Yes
No

If Yes, Which Mission?

Do you pay your Tithe?

Yes
No

If Yes, what is your tithe card number?

Are you in any group?

Yes
No

If Yes, what group?

If not a member of Royalhouse Chapel, what church do you attend?

If you're not a Royalhouse Chapel member, please submit recommendation letter from your Pastor

Click or drag a file to this area to upload.

How long have you been in this relationship?

Have you been married before? *

Yes
No

If Yes, for how long?

When did you divorce? (Please be prepared to bring your divorce certificate to your session)

Do you have Children? *

Yes
No

If Yes, what are their ages?

Are you under Doctor's care? *

Yes
No

If Yes, for what reason(s)?

What medications are you currently taking?

Father's Name *

First

Last

Mother's Name *

First

Last

Fiance's Signature *

Fiancee's Details

Fiancee's Name *

First

Middle

Last

Financee's Age *

Fiancee's Address

Address Line 1

Address Line 2

City

State

Zip Code

Fiancee's Email *

Are you a born again Christian? *

Yes
No

Are you a member of Royalhouse Chapel?

Yes
No

If Yes, what mission?

Do you pay your Tithe?

Yes
No

If Yes, what is your Tithe Card Number?

Are you any group? *

Yes
No

If Yes, what group?

If not a member of Royalhouse Chapel, what church do you attend?

If you're not a Royalhouse Chapel member, please submit recommendation letter from your Pastor

Click or drag a file to this area to upload.

How long have you been in this relationship?

Have you been married before? *

Yes
No

If Yes, for how long?

When did you divorce? (Please be prepared to bring your divorce certificate to your session)

Do you have Children? *

Yes
No

If Yes, what are their ages?

Are you under Doctor's care? *

Yes
No

If Yes, for what reason(s)?

Yes
No

What medications are you currently taking? *

Father's Name *

First

Middle

Last

Mother's Name

First

Middle

Last

Fiancee's Signature

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