THE BETHEL CHURCH'S RE-UP MEMBERSHIP REGISTRATION
This form is to collect membership information as we re-start our membership database. PLEASE ONLY REGISTER IF YOU ARE A MEMBER OF THE BETHEL CHURCH! If you are registering your child, please type your name in the 'parent' line.
First & Last Name
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Suffix
Best Contact Email
example@example.com
Best Contact Number
*
Please enter a valid phone number.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
/
Month
/
Day
Year
Date Picker Icon
What Is Your Preferred Giving Method?
Date
-
Month
-
Day
Year
Date
Please enter Spouse & Children information below if applicable
This section is for spouse and children (under 18) The spouse section is ONLY to cross-reference your family profile in our system. Please be sure your spouse also registers themselves.
Spouse Name
Mr.
Mrs.
Prefix
First Name
Last Name
Suffix
Child 1
First Name
Last Name
Date of Birth
/
Month
/
Day
Year
Date Picker Icon
Child 2
First Name
Last Name
Date of Birth
/
Month
/
Day
Year
Date Picker Icon
Child 3
First Name
Last Name
Date of Birth
/
Month
/
Day
Year
Date Picker Icon
Child 4
First Name
Last Name
Date of Birth
/
Month
/
Day
Year
Date Picker Icon
Child 5
First Name
Last Name
Date of Birth
/
Month
/
Day
Year
Date Picker Icon
What ministries are you involved in at The Bethel Church?
Example: Women of Purpose, Oasis (Type N/A if you have not engaged a ministry yet)
What is your membership status?
*
Please Select
In Person
e-Church (online ONLY in Jacksonville, FL)
e-Church (online ONLY in another location)
Please sign to authorize The Bethel Church with putting your information into our church database. (If you are responsible for completing for another member, please sign your name).
*
Once you see the 'THANK YOU' page your application will be completed.
Submit
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