Bethel Evangelical Church - Membership Form

Membership Registration Form
Name

First NameLast Name
Address

Street Address

Apartment (if applicable)

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate (Optional)
Marital Status
If married, name of spouse
Please list your children's first names:
If you already are a member of Bethel Evangelical Church, enter the approximate year you became a member.
(Month / Year)
When did you accept Jesus Christ as your personal Savior and Lord?
(Month / Year)
Could you please share with us a brief testimony of your salvation?
What are your spiritual gifts or skills/profession?
What ministry group would you like to join at Bethel Evangelical Church? (Choir, Sunday School teacher, Usher, etc.).
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Membership Registration Form