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<p>Let’s Talk First<br />Every ceremony begins with a conversation.<br />If you’re reaching out about your wedding, I’d love to hear your story and see if I’m the right fit for your day.<br />Fill out the form below, and I’ll be in touch soon.</p>

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<form action="https://formsubmit.co/chaplainmark@squareone-counseling.com" method="POST">
  
  
  <input type="hidden" name="_captcha" value="false">

  <label>Names of the Couple</label>
  <input type="text" name="Couple Names" required>

  <label>Best Way to Reach You</label>
  <select name="Preferred Contact">
    <option>Email</option>
    <option>Phone</option>
    <option>Text</option>
  </select>

  <label>Wedding Date (or hoped-for date)</label>
  <input type="text" name="Wedding Date">

  <label>Wedding Location</label>
  <input type="text" name="Wedding Location">

  <label>Tell me a little about your story</label>
  <textarea name="Your Story" rows="4"></textarea>

  <label>What kind of ceremony are you imagining?</label>
  <select name="Ceremony Type">
    <option>Christian</option>
    <option>Spiritual</option>
    <option>Blended</option>
    <option>Simple civil-style</option>
    <option>Not sure yet</option>
    <option>We’d like to talk it through</option>
  </select>

  <label>Would you like to meet first?</label>
  <select name="Meet First">
    <option>Yes, absolutely</option>
    <option>Yes, phone/video</option>
    <option>Not sure yet</option>
  </select>

  <label>Anything else you'd like me to know?</label>
  <textarea name="Additional Notes" rows="4"></textarea>

  <button type="submit">Send Inquiry</button>
</form>

Square one

Why come here instead of a therapist, pastor, or counselor?
I’m not here to diagnose you, fix you, or recruit you. I’m here to walk beside you. What I offer is a slow, porch-side kind of presence—especially for the grieving, the spiritually bruised, and the ones who love Jesus but feel lost in the noise of church culture.