Shores Baptist Worship Center
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SBWC Request Forms
(352) 687-1048
Request For Premarital / Marital Counseling
Type of Counseling Requested:
*
Premarital (Attention Premarital Couples: This form must be turned in at least 4 months prior to your expected wedding date.)
Marital
Today's Date
Bride / Wife Name
*
First
Last
*
Last
Wedding Date:
Date Of Birth:
Email
*
Home Phone Number
*
Work Phone Number
*
What is your preferred method of contact?
Current Address
*
New Address
City
*
State
*
AL
AK
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code
*
Have you accepted Jesus Christ as your personal Savior?
*
Yes
No
Any previous marriages?
*
Yes
No
If yes, how many?
What was the cause of separation?
Windowed
Divorced
Are you a member of Fresh Wind?
*
Yes
No
Number of Children?
Ages of your children? (Please separate by commas)
Are you under doctor's care?
*
Yes
No
If yes, for what reason?
Groom / Husband's Name
*
First
Last
*
Last
Date Of Birth
Email
*
Home Phone Number
*
Work Phone Number
*
What is your preferred method of contact?
Current Address
*
New Address
City
*
State
AL
AK
AR
AZ
CA
CO
CT
DE
DC
Postal Code
*
Have you accepted Jesus as your personal Savior?
*
Yes
No
Any previous marriages?
*
Yes
No
If yes, how many?
What was the cause of separation?
Windowed
Divorced
Are you a member of Shores Baptist Worship Center?
*
Yes
No
Number of Children?
Ages of your children? (Please separate by commas)
Are you under doctor's care?
*
Yes
No
If yes, for what reason?
How did you hear about our services?
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Forms
Home
About
History
Ministries
Education
Bible Study
S.O.A.P. Devotionals
Rightnow Media
Events
Blog
Give
Live Stream
Contact Us
SBWC Request Forms
Menu
Home
About
History
Ministries
Education
Bible Study
S.O.A.P. Devotionals
Rightnow Media
Events
Blog
Give
Live Stream
Contact Us
SBWC Request Forms
