Welcome to Bethel! We’d like to get to know you a little better. CONTACT INFORMATION Your Full Name (required) Name you prefer to be called Date of birth (required) Home Address (required) Home Phone Cell Phone Email Address (required) FAMILY Marital Status ---SingleMarriedDivorcedWidowedRe-married Spouse's name When were you married? Is your spouse joining the church as well? YesNo Please list children living with you: Name, birthdate, present grade, date of baptism (if baptized) Have you been baptized? (required) YesNo If so, what day were you baptized, and at what church? Has your spouse been baptized? YesNo If so, what day and at what church? Where did you attend worship before? VOCATION AND COMMUNITY Are you employed? YesNo If so, where? What position do you hold? Business address Business Phone Is your spouse employed? YesNo If so, where? What position? Business address Business Phone Are you retired? YesNo If so, from where? Is your spouse retired? YesNo If so, from where? Previous/Current community organization membership DISCIPLESHIP I would like to grow in my walk with Jesus in these areas: I struggle to follow Jesus in these ways: God has given me these gifts and talents to contribute to the Christian community: Please type the following in the area below. To use CAPTCHA, you need Really Simple CAPTCHA plugin installed.