Understanding Church Life & Membership Class

Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth:

MM

DD

YYYY

I am a: *

1st Time Guest

2nd Time Guest

3rd Time Guest

Bethel Regular Attendee (in-person or virtual)

Are you a born again Christian? *

Yes

No