Name *Person 1 *

First Name

Last Name

Phone *Person 1 *

(###)

###

####

Name *Person 2 *

First Name

Last Name

Phone *Person 2 *

(###)

###

####

Do you consider Kalos your home church? *

Yes

No

Which services are you requesting? *

Pre-marital counseling

Wedding officiant

Both

Please select your desired pre-marital counselor:

Pradeepan and Amreitha Jeeva

Andrew and Rachael Jennings

Tory and Amy Carlsen

Date of Wedding (even if tentative) *

MM

DD

YYYY

If you would like a Kalos pastor to officiate your wedding, please select your desired officiant (your officiant does not have to be the same as your counselor, although we recommend it):

Pradeepan Jeeva

Amreitha Jeeva

Pradeepan and Amreitha Jeeva

Andrew Jennings

Amy Carlsen

I acknowledge the fees associated with the Pre-Marital Counselor and/or Officiant of my choosing (see listed fees at the top of this form) *

Yes

No, I have questions