Membership Information Form

Welcome to Bethel Missionary Baptist Church!

We’re so glad you’ve decided to connect with our Bethel family. This form helps us learn more about you so we can serve, support, and walk with you in your journey of faith.

Please complete each section as fully as possible — the more you share, the better we can help you get plugged in, grow spiritually, and feel right at home.

Which Invitations Are You Responding To?

Select all that apply

Christ

Community

Connection

Name

First Name

Last Name

Parent/Guardian(s) Name if Under 18

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Birthday

MM

DD

YYYY

Baptism Status

Already Baptized

Desire Baptism

Interested in Baptism

Marital Status

Married

Single

Widowed

Children

Please list the names of children and dependents, including age.

Additional Information

Is there anything else you would like us to know?

Welcome to Bethel Missionary Baptist Church!

Thank You!