Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Spouse's Name If ApplicableFirstLastChildren's Names If ApplicableAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOccupationAnniversary - If ApplicableDate of BirthHave you read our church covenant?YesNoHave you ever been baptized?YesNoCan you answer specifically the question, "What is the gospel?" *Please share your testimony? Please describe your repentance and faith in the gospel. 300-500 words is preferred. This will be shared with other BBC members during the membership approval process. *Why have you chosen Bethel for membership?What giftings has God given you whereby you could serve the church?Did you attend a church previously to Bethel? In what capacity did you serve there? Why did you leave your last church?Please provide your pastor's name and email for your previous church:Please upload a recent picture. Click or drag a file to this area to upload. Submit