Membership Update

Member Information Form

First Name *

First Name

Previous Name

Previous Name (If name has changed)

Are you new to One Church at Bethel's Family? *

Are you new to One Church at Bethel's Family?

Date Joined *

Date Joined

Date of Birth *

Date of Birth

Address *

Address

City *

City

State *

State

Zip Code *

Zip Code

Home Phone Number

Mobile Number *

Mobile Number

Email *

Martial Status *

Martial Status

Wedding Anniversary

Wedding Anniversary (If married)

Spouse's Name

Spouse's Mobile Number

Your best method of contact *

Your best method of contact

Have you completed New Members Orientation online or in person? *

Have you completed New Members Orientation online or in person?

Date completed New Members Orientation

Date completed New Members Orientation (If Taken)

Have you been baptized? *

Have you been baptized?

Are there children living in the household (18 and under)? *

Are there children living in the household (18 and under)?

Have all children living in the household been Baptized? *

Have all children living in the household been Baptized?

Are all children living in the household a member of the church? *

Are all children living in the household a member of the church?

*Please note that Servant's Heart Ministry will contact you to confirm additional information about all children living in the household.