Page 4 | Bethlehem Baptist Church

Name (Required)

Email Address (Required)

Your Phone Number (Required)

Your Address (Required)

Age Group (Required)

I am a: (Required)

First Time Guest

Second Time Guest

Regular Attender

Member

Preferred Method of Contact (Required)

Phone

Text

Visit

NONE

Prayer Requests

How can we pray for you?

My Decision Today: I want to... (Required)

Let us know if you made a decision today or if you want us to follow-up with you.

Commit my life to Jesus

Get baptized

Renew my commitment to Christ

Become a member

Join a small group

Speak with a pastor

Other

Questions? Comments?

Bethlehem Baptist Church