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MY INFORMATION / FAMILY
Name *
Which of the following applies? *
Date of Birth *
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Gender *
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(If applicable: Spouse, Children, & Ages)
Address
Phone *
What brought you to Bethel Christian?
If you selected family/friend/other above, please let us know who told you about us or how you found us.
Are you looking for a church home?
MY DECISION TODAY.... (if applicable)
MY INTERESTS ....
We know God has a plan and purpose for your life, so let us help you get plugged in. Please mark your areas of interest or share your prayer need, praise report, comment, or question in the MY....section. Thanks and God Bless!  
Check all that apply.
MY .... (Check the box and share below.)
Describe Prayer Need, Praise Report, Comment, or Question)
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