User account

Please fill in your desired username, a valid email address, and your personal information to request an account with Bethel. All fields with an asterisk must be completed. Your privacy is important to us and your information will not be used outside of Bethel Baptist Church.
Account information
Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Personal Information
Please choose one of the Bethel membership choices.
Please select your age group from the list.
Please indicate the number of children living with you at home.
If you have children living at home, please list their ages.
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Enter the characters shown in the image.

Bethel Baptist Church
1196 N Academy St.
Galesburg IL, 61401


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