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Gateway Church: PreMarriage Assessment
Thank you for your desire for PreMarriage Coaching. We desire to build Marriage Champions and our goal is to help start conversations for you two that you will have the rest of your lives.

To start fill out this intake form. The answers will help us minister to your relationship most effectively. Please fill this out completely and individually. It's important for us to have an intake form for each of you. Just copy the link in the URL above and send to your fiance. We look forward to meeting with you.

Note: Marriage Coaching is a 4-6 week process where you meet together with a marriage mentor who will talk with you through various subjects pertaining to your relationship. Upon receipt of your coaching fee (see below in Additional Information), you will take the SYMBIS marriage assessment and a mentor will be in contact with you.
Email address *
Date: *
Personal Information
Name: *
Name of Fiancé: *
Address: *
Cell Phone: *
Email: *
Birth Date: *
Occupation / Employer: *
Previously Married *
If previously married, how long have you been divorced? *
If any children from the previous marriage, how many? *
If applicable, are you willing to discuss your previous marriage? *
Do you have a personal relationship with Jesus as your Savior & Lord? *
Describe your current relationship with Jesus. *
What church do you attend? *
How often do you attend? *
Briefly share your testimony: *
Your Relationship
Are you currently living together? *
Are you sexually active in your relationship? *
Are you willing to discuss entering a covenant pledging sexual abstinence until your wedding? *
Your Wedding
Wedding date: *
Wedding Location:
Do you have an officiant of your wedding?
Clear selection
Would you like a Pastor from Relational Care to officiate your wedding?
Clear selection
How has your faith impacted your relationship so far? (Please choose all that apply) *
Ministry Agreement
In consideration for being permitted to participate in voluntary pastoral ministry, herein referred to as “Ministry,” and prayer
ministry, herein referred to as “Prayer Ministry”, I, the undersigned, herein referred to as the “Ministry Recipient,” agree as follows:

1. This is a church-based ministry of Gateway Church providing Ministry and Prayer Ministry in individual and group settings. Our Ministry is done by pastoral staff and lay-ministers, herein referred to as “Ministers.” These individuals are not licensed as professional counselors, social workers, or psychologists because they perform spiritual and Biblical ministry and not secular or psychological counseling. If it becomes apparent that secular or psychological counseling may better address the Ministry Recipient’s needs, the Minister will immediately initiate an outside referral to a licensed professional counselor, social worker or psychologist.

2. Under all circumstances, sexual contact between a Minister and Ministry Recipient is prohibited. If any Minister suggests or attempts sexual advances, the Ministry Recipient shall terminate the session immediately and report the incident to the Executive Senior Pastor, or any other Elder not involved in the Ministry.

3. Under normal circumstances, your Minister will use their good faith efforts to keep your discussions in confidence. However, you should be aware there are some situations in which your Minister may be required by law to report information to the proper authorities without your permission or knowledge. These situations include, but may not be limited to: a Ministry Recipient’s intent of harm to self or others, involvement in a felony, suicidal intentions, and/or reasonable evidence of child, disabled or elder abuse or neglect.

Your Minister may also disclose information in response to a subpoena and/or court order issued by a court of law. Additionally, if you hold a leadership or ministry position, your Minister may also disclose information to the person in authority over you, in the event he or she deems it relevant to your fitness or ability to fulfill your position.

4. Officially recognized church staff and lay-personnel may also have limited access to your pastoral file. Any other person seeking access to your pastoral file may do so only with your written permission. However, Gateway Church Scottsdale cannot guarantee complete confidentiality with regard to the information received from you.

5. Gateway Church Scottsdale requires that parent(s) must be actively involved in any Ministry and/or Prayer Ministry that is extended to a minor child as determined by the Minister. At the discretion of the Minister, parent(s) will be required to make themselves accountable for active participation in Ministry and/or Prayer Ministry offered by Gateway Church Scottsdale.

6. Ministry Recipients with any concerns or questions about this agreement agree to raise them with their Minister at the earliest possible time.

7. This agreement, herein referred to as the “Ministry Agreement,” will govern all relations involved during the term of the ministry process. Should the Ministry Participant participate in Prayer Ministry, the Voluntary Release, Assumption of Risk and Indemnity Agreement will be incorporated as part of this Ministry Agreement. It is agreed that any disputes or modifications of this Ministry Agreement will be determined directly between the individuals involved. If this Ministry Agreement is not satisfactory, then it is further agreed that disputes and disagreements will be taken to the Gateway Church Scottsdale Board of Elders for mediation. In the event that a satisfactory resolution is not achieved, then it is further agreed that a mutually acceptable third-party mediator will be utilized. If the mediation is unsuccessful, then the dispute shall be submitted to Christian Arbitration under the Rules of Arbitration published by the Institute for Christian Mediation ( All expenses incurred will be the responsibility of the party bringing the dispute.
I have read, understand, and agree to the terms of Ministry Agreement. *

Type name and date to sign. *
Additional Information:
Your PreMarriage Coaching is intended to help you start conversations that will provide a solid foundation for your relationship. It is ideal to begin coaching 8-12 weeks prior to your wedding, and can be completed in 4/5 sessions.

Topics included: Topics will include spiritual and sexual intimacy, his needs and her needs, communication, finances, boundaries and expectations, and more.

Cost for Marriage Coaching: The cost for marriage coaching is $100 per couple. You will receive resources and tools to help you develop a healthy heart and relationship and have an ongoing connection to a mentor couple if you choose.

To complete your marriage registration, click this link:

Shortly there after you will be sent a SYMBIS assessment, which will be the basis of your marriage coaching. It's a fun and informative look how you view marriage and will affirm you two as you take this sacred step and covenant of marriage.

If using one of the pastors at Gateway for your marriage ceremony, it is customary for the officiating licensed or ordained pastor to receive an honorarium (ranging $250 - $400) depending on the wedding arrangements and location.

If you have any questions, email or call 480-426-8784.
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