New Member Information

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

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.
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