Wedding Officiant Request
This form is for any couple that requests the services of a City Church pastor to perform their
wedding. This is not a contract, and the pastor should not be considered available until he has scheduled the wedding on his calendar in conjunction with the couple. The City Church office must be contacted to reserve any church facilities. Please fill out as much of the following information as you know.

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Groom's Name
Date of Birth
MM
/
DD
/
YYYY
Covenant Member?
Clear selection
If Covenant Member, how long?
Email
Cell Phone #
Address
Next
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