JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Church Membership Form
New member contact form: Please fill out this membership form with your information and someone will reach out to you as soon as possible.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Phone Number
*
Your answer
Please identify under what experience are you joining the church today
No Christian Experience
Christian Experience
Other
Clear selection
Child's name and DOB (ex. Jane Smith 5/1/2019)
Your answer
If you've been a member at another church please fill in the information below:
Previous church name
Your answer
Previous church address
Your answer
Bethel Emanuel Temple COGIC
Bishop Curtis B. Sexton, Pastor
106-23 154th street, Jamaica NY 11433
718-834-8500
admin@betchurch.org
www.betchurch.org
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Bethel Emanuel Temple.
Report Abuse
Forms
