Pre-MarriedLife

2-to-1 Premarital Mentoring

What is your wedding date?
If not set yet, please give an estimated date.
Which campus do you attend?
Is a campus pastor marrying you? If so, please provide the name of the pastor marrying you.
Are you currently living together?
Please list your three top preference times to meet during the week with your mentor couple.
(Mentoring is not available on Friday and Saturday.)

Confidentiality

BY CHECKING THESE BOXES, WE AFFIRM THAT WE HAVE BOTH READ AND UNDERSTAND THE 2-TO-1 CONFIDENTIALITY STATEMENT.
(Click here to view the Confidentiality Statement.)

His Contact Info Her Contact Info
First Name
Last Name
E-mail Address
Home Phone
Work Phone
Cell Phone
Address
City
State
Zip
Birthdate
Status
Are you a member or regular attendee of Buckhead Church?
Regular attendee is defined as attending 2-3x a month.
Church Affiliation
Are you in a small group?

If so, who is your group leader?
Do you currently serve anywhere in the church?

If so, in what area do you serve?
Is this your first marriage? If not, what marriage is this for you? (enter a number)
If you have been divorced, how long ago were you divorced?
Are there any children from a previous relationship?
First Name
Last Name
E-mail Address
Home Phone
Work Phone
Cell Phone
Address
City
State
Zip
Birthdate
Status
Are you a member or regular attendee of Buckhead Church?
Regular attendee is defined as attending 2-3x a month.
Church Affiliation
Are you in a small group?

If so, who is your group leader?
Do you currently serve anywhere in the church?

If so, in what area do you serve?
Is this your first marriage? If not, what marriage is this for you? (enter a number)
If you have been divorced, how long ago were you divorced?
Are there any children from a previous relationship?
If either person has children from a previous relationship, please fill out the step-family information below. Otherwise, click submit.
His Step-Family Info
How long did each marriage last?
What was the reason that your prior marriage(s) ended - death or divorce?
What steps have you taken to heal/forgive/etc. from your prior marriage(s)?
What has led you to the decision to marry again?
If you have children, how many do you have, and what are their ages?
With whom do your children live?
Where do they live?
What are your visitation arrangements?
Who has legal custody of the children?
What do you believe were the major contributing factors to your divorce?
Have you been through a divorce recovery program or counseling? If so, when did you go and what were the results of that experience?
Her Step-Family Info
How long did each marriage last?
What was the reason that your prior marriage(s) ended - death or divorce?
What steps have you taken to heal/forgive/etc. from your prior marriage(s)?
What has led you to the decision to marry again?
If you have children, how many do you have, and what are their ages?
With whom do your children live?
Where do they live?
What are your visitation arrangements?
Who has legal custody of the children?
What do you believe were the major contributing factors to your divorce?
Have you been through a divorce recovery program or counseling? If so, when did you go and what were the results of that experience?