Wedding Application 13260 MORSE ROAD, PATASKALA, OH 43062
(740) 927-1859 (740) 927-0468 FAX
Bride’s Name & Address
Bride’s Home Phone________________ Cell phone_______________Email___________________
Groom’s Name & Address
Groom’s Home Phone_______________Cell phone_______________Email____________________
Is the bride or groom a member of Jersey Baptist Church? Is either of the parents a member of Jersey Baptist Church?
[ ] Yes [ ] Yes
[ ] No [ ] No
Officiating Pastor Request: (Circle One) John Hays*, Todd Smeltzer, Chris Moseley, Ryan Morris (*Please note that Pastor John Hays’ availability is limited) How long have you been engaged?
__________________________
Wedding Date _________________________Wedding Time ______________ Approximate number of guests:_______________Venue Requested: Chapel or Central Previous Marriages?
Bride [ ] Yes [ ] No Groom [ ] Yes [ ] No If yes, how long have you been divorced or widowed? Bride_______Groom_______ We require a $250.00 refundable security deposit for all weddings/receptions. This $250.00 check, payable to Jersey Baptist Church, must accompany this form. Please Note: There are NO rental fees for use of the building for members, however, there are cleaning & utility fees (see Wedding Policies). By completing and signing this form you are agreeing to comply with the policies and regulations of Jersey Baptist Church regarding church weddings and receptions of which a copy is attached. Signature: ________________________________________ Date: ______________________ Contact Jersey Compass Ministries Marriage Advocates, Bill and Alice Myers, with questions or to schedule a premarital interview. Email
[email protected] or call 740.927.5615. _____________________________________________________________________________ Pastor’s Approval: _____________________________ Date: ________________________
