Wedding Request

Bride's Name

Bride's Email

Bride's Phone

Groom's Name

Groom's Email

Groom's Phone

If you desire different names (i.e. Bob- instead of Robert) to be used during the ceremony, please state the name(s)

We have read the LCIC wedding policies and meet all FOUR qualifications below to be married at LCIC

We both have attended Next Steps at LCIC

Yes

We have completed the Pre-Marriage classes

Yes

Date Attended

Date of classes

We attend LCIC on a regular basis

Yes

We will be / have been engaged at least 6 months prior to our ceremony

Yes

Engagement Date

Wedding Date Requested

1st choice

Wedding Date Requested

2nd choice

Wedding Location

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Time Requested

1st choice

Time Requested

2nd choice

Rehearsal Date Requested

1st choice

Rehearsal Date Requested

2nd choice

Rehearsal Time Requested

1st choice

Rehearsal Time Requested

2nd choice

Anticipated number of guests

Preferred wedding officiant

1st choice

Preferred wedding officiant

2nd choice

LCIC WEDDING FACILITY AND SERVICE FEES

Wedding Location	Services	Service Fees
LCIC ONLY	Facility Fee	$500
LCIC ONLY	Sound Booth Personnel (2 hr. max )	$150
LCIC or Offsite	Wedding Facilitator	$300
LCIC ONLY	Housekeeping Fee	$100
LCIC or Offsite	Honorarium for Officiating minister	$400 - $600
LCIC or Offsite	Administrative Fee	$75
Assistant Facilitator Fee	Administrative Fee	$150
Offsite ONLY	Traveling Fee	$50
LCIC ONLY	Damage Deposit (refundable upon inspection/approval by LCIC staff)	$50

We understand that all applicable fees must be paid in full two weeks prior to our wedding date. We have read and understand the Wedding policies set forth by the Pastoral staff of Life Changers International Church. We agree to abide by these guidelines.

Bride Signature

Groom Signature

Mailing Address After Wedding

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country