Connection Card

If you are a regular attender or member, only complete contact information if there is a change / update.

Your name *

Last name

Email address *

Update or Add Information

Fill out these sections if you are updating or adding new information to your profile with us. No need to fill that out every week!

Address

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Required Fields:

Please fill out these sections every week as a way to check in!

Your Age Group: *

Child/Teen

College

20s

30s

40s

50s

60s

70s & up

I am:

1st or 2nd Time Visitor

I attended: *

9:00 a.m. service

10:00 a.m service

10:30 a.m. service

Online service

Request more information about Bethany:

I would like more information on the following Ministry: (Check all that apply)

Kid's Ministry Birth - Pre-K

Kid's Ministry K-5th Grade

Youth Ministry 6th - 12th Grade

College Ministry

Young Adult Ministry

Grow Groups (Adult Small Groups)

Women's Ministry

Men's Ministry

Senior Ministry

I am ready to take steps toward:

Getting Baptized

Participating in Family Dedication

Joining a Grow Group

Committing to Become a Member

I am interested in volunteering at Bethany in the following ministry:

Choose a ministry by checking the box.

Nursery/Kid's Ministry

Youth Ministry (6th-12th grade)

Connections Ministry (Greeters, Ushers, Cafe, Safety)

Worship/Tech Ministry

Join the Prayer Chain

Help Me Find My Place to Serve

Help the Deacon Team meet needs of the Congregation

Prayer Requests:

Please let us know how we can pray with you! Be aware that these requests are emailed to our staff once every 24 hours. If this is an urgent, time-sensitive request, feel free to not use this form but directly email tami.deleeuw@bethanychurchlax.org.

Prayer Request to be shared with the Staff, Elders, and our Prayer Chain.

Prayer Request to be shared with our Staff and Elders only

I would like to be contacted by a Ministry Leader to be prayed with.

Financial/Physical Needs:

Please follow the link and click "Get Help" to view our Deacon Request Form and to let our Deacon Team know how they can help you:
https://bfreechurch.churchcenter.com/people/forms/251192

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Bethany Evangelical Free Church
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