Bethesda Baptist Church Contact Information
We are updating our Bethesda Baptist Church directory; please provide your information below; then click the "submit" button at the bottom of the page. This data is not published, or visible to the public, it will only be used internally at Bethesda. We do hope to provide a printed church directory at some point; in a printed directory, we would only include: name, address, phone number, and email address.

Please fill out and submit this form for EACH Bethesda Baptist Church member in every household (adult & children). We realize that for those with young children, some of the information will be repeated, but if the form is submitted for each member, this will help us to have a complete and thorough directory.

If you have any questions, please contact Rodney Squires or Marty Little:
rodney@bethesdabaptistcalhoun.com
marty@bethesdabaptistcalhoun.com

Thank you
Are you a member of Bethesda Baptist Church? *
First Name *
Last Name *
Date of Birth
MM/DD/YYYY
Street Address *
City *
Calhoun is chosen by default
State *
Ga is chosen by default
Zip Code *
30701 is chosen by default
Email Address
Would you like to receive emails containing a prayer list, notifications, or other church announcements? *
Required
Home Phone
format: 555-123-4567
Cell Phone
format: 555-123-4567
Would you like to receive text messages on your cell phone containing emergency notification; such as if church had to be canceled due to weather? This kind of text would only be sent on a rare occasion. *
If Yes; select AT&T, Verizon, or Other
Would you like to receive text messages on your cell phone containing a prayer list, notifications, or other church announcements? This kind of text might be sent on a weekly basis. *
If Yes; select AT&T, Verizon, or Other
Employer Name
Work Phone
format: 555-123-4567
Spouse First Name
Spouse Date of Birth
MM/DD/YYYY
Are you a Veteran?
This info will be used by the church clerk to create a list of Veterans to honor on Veterans Day (No is selected by default)
Clear selection
If you are a Veteran, please list branch of service and dates
Children Information
Please provide information below about your children. If your young children are Bethesda Baptist Church members; please list their info below, then fill out the form again and submit it with their information at the top (instead of yours); this will help our church clerk create a full member list. If you have adult children, please list their information below, then ask them to fill out the form with their own information (if they attend Bethesda Baptist Church). If they need the address to this form, you can forward them the email that you received.
(Again; children information is not visible to the public; this is for use by the church clerk only.)
Name of 1st child
First Name and Last Name
Date of Birth for 1st child
MM/DD/YYYY
Is your 1st child a member at Bethesda Baptist Church?
Clear selection
Name of 2nd child
First Name and Last Name
Date of Birth for 2nd child
MM/DD/YYYY
Is your 2nd child a member at Bethesda Baptist Church?
Clear selection
Name of 3rd child
First Name and Last Name
Date of Birth for 3rd child
MM/DD/YYYY
Is your 3rd child a member at Bethesda Baptist Church?
Clear selection
Name of 4th child
First Name and Last Name
Date of Birth for 4th child
MM/DD/YYYY
Is your 4th child a member at Bethesda Baptist Church?
Clear selection
Comments:
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