BTC 2022 Membership Census "Youth Edition"
We are requesting all CURRENT MEMBERS of Bethesda Temple Church to update their children's information (please note this is for children, ages 17 and under, of CURRENT MEMBERS only).  Minor children can only be registered as members under the consent of a registered adult member. If you haven't submitted a confirmed membership form then your minor children cannot be included.
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Email *
Parent's First Name *
Parent's Last Name *
Child's First Name *
Child's Last Name *
Address (Street Number, Street Name) *
City *
State *
Zip Code *
Mobile Phone (555-555-5555) *
Gender *
Birth Date *
Example: January 7, 2019
Has your child been baptized? *
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