Bethel Brookings / Welcome / Contact

Please contact me

Please update my contact information

First Name

Last Name

Email Address

Home Phone Number

Cell Phone Number

What is the best way to reach you?

Email

Phone

Date of Birth:

Street Address

City

State

Zip Code

Gender

Male

Female

Single

Married

Divorced

Widow(er)

Spouse Name and DOB

Children's Names/DOB

This is new information please update

Ok to publish in the church directory

Ok to publish except for cell phone number

My Decision Today: check all that apply

I prayed to accept Jesus Christ as my Savior

I would like to learn about baptism

I am interested in joining the Bethel Family (Friend or Member)

I would like to join a LifeGroup

I would like help finding a place to serve

My Spiritual Journey

How did you hear about Bethel?

Website

Radio

Drive By

Facebook

Friend

Postcard

Newspaper

Additional Information you would like the Bethel staff to know

Bethel Connect Card