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!
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)
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).
*
Clear
Once you see the 'THANK YOU' page your application will be completed.
Submit
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