Baptism

Name(Required)

First Last

Email(Required)

Phone(Required)

Confidential

If selected, the need will be only shared with Bethel Pastors and the volunteer(s) with the appropriate skill set.

Yes

Select the Need(Required)

Provide as much deatail as possible. Include reason for the request and when this is needed.

A Bethel volunteer will contact you to collect additional information. Thank you for your patience as we match your request with the appropriate volunteer.

Name(Required)

First Last

Email(Required)

Phone

Prayer Requst(Required)

Would you like a pastor to call and pray with you?(Required)

Yes, please

No, thank you

Would you like this request shared with the prayer team?(Required)

Yes, please

No, thank you

Name(Required)

First Last

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City Province Postal Code

Your Family Member Names

I'd like to connect with the following campus(Required)

Stratford

St. Marys

Can we add you to our mailing list

Yes

No thanks

I'm already signed up

Intersted in help with

Questions or comments

Needs Request

Prayer Request

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