Crossroad Christian Church

Pre-Marital/Marital Intake Form

Thank you in advance for completing the information below. It will help facilitate your request.

Marital Status

First Name

Last Name

Age:

Email

Phone Number

Best Time To Contact:

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Spouse/Fiance First Name

Spouse/Fiance Last Name

Age:

Email

Phone Number

Best Time To Contact:

Names/ages of children:

Engagement Date:

Wedding Date:

Crossroad Life Status

Member

Non-member

Deacon Name (if member):

Church/Pastor Name (non-member):

Anything else you'd like to share?

1. You will be registered to take the Prepare/Enrich assessment online.
2. The fee is $35 payable online. You will receive instruction via email prior to taking the assessment.
3. Once the assessment is complete, you will be contacted to set up an in-person appointment.
4. If you have any questions or concerns, please contact our team at: marriage@crossroadlife.com.
5. ALL INFORMATION IS CONFIDENTIAL.

How many times have you visited our church?

This is my first time

A few times

Regular attender

How did you hear about us?

Crossroad Christian Church

Pre-Marital/Marital Intake Form

Thank you in advance for completing the information below. It will help facilitate your request.

About

Service Times

Contact Info

Connect With Us