Care Card
Thank you for filling out this care card! We look forward to connecting with you soon!
Welcome to Bethany Community Church!
Name
*
Please check one of the following:
*
Please select all that apply.
visiting for 1st time
visiting again
regular attender
member
Worship Service Participation:
*
Please select one option.
Attended in person.
Attended virtually.
Unable to attend.
New or need to update? Please fill out the section below:
Email
This address will receive a confirmation email
Phone
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Children's names/ages
Please choose one of the following:
Age:
Please select one option.
middle/high school
18-22
23-29
30-39
40-49
50-59
60+
Select Option
middle/high school
18-22
23-29
30-39
40-49
50-59
60+
Status
Please select one option.
single
single-parent
married
widow(er)
Select Option
single
single-parent
married
widow(er)
I'd like more information about:
Please select one option.
a relationship with God
Discovering Bethany: if you desire to become a member, this class is required
Newcomers' Lunch: a meal to get to know some of our leadership
Groups: connect in a care group (small group) or Bible study
Serving: there are many ways to serve at BCC
Would you like added to the weekly email update list?
Please select all that apply.
Yes
No
Prayer Requests/Praises/Comments:
Please select all that apply.
Please share with the email list
PLease share during the congregational prayer
Submit
Description
Thank you for filling out this care card! We look forward to connecting with you soon!
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