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Connect Group Information Form

APPENDIX 1 STATEMENT OF FAITH

We believe...

• The Bible to be the inspired, the only infallible, authoritative Word of God that speaks with final authority concerning truth and morality.

• That there is one God, eternally existent In three persons: Father, Son and Holy Spirit.

• In the deity of our Lord Jesus Christ, In his virgin birth, in his sinless life, in his miracles, In his vicarious and atoning death through his shed blood, in his bodily resurrection, in his ascension to the right hand of the Father, and In his personal return in power and glory.

• That for the salvation of lost and sinful man, regeneration by the Holy Spirit is absolutely essential.

• In the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life.

• In the baptism with the Holy Spirit and in the exercise of spiritual gifts.

• In the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.

• In the spiritual unity of believers in our Lord Jesus Christ.

 

TERMINATION:

When your group is on pause or ends please email krishon.henderson@bethelworld.org

By signing, I commit to uphold the Connect Group standards of Bethel World Outreach Church.

Today's Date: April 19, 2026

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Connect Group Details
Is this information for your*
Are you currently in a Connect Group, or have you previously been in a Connect Group? (Connect Groups are formerly known as Life Groups)*
Yes
No
Connect Group Leaders Name(s)
Connect Group Status*
Name and Address of meeting place
Who Should Attend:(check all that apply)
Men
Women
Co-Ed
Singles
Married Couples
Student Focus
Families

Open Group - published on website/app for Bethel attendees to join

Closed Group - people join the group by your invitation only

My connect group is currently:*
Open
Closed
List the name of your group if you have one.
Day of the week your group will meet *
Time of day your group will meet *
Frequency of meeting (weekly, 1st and 3rd, etc)
Are children welcome?*
Yes
No
Is it okay to publicly advertise your group on the Bethel website, at Connect Central, phone inquiries, etc?*
Yes
No
May we publish your group's address?*
Yes
No

Members of my Connect Group are
My Connect Group will begin on
and will end on
Give a description of the topics and activities your group will normally engage in.
A plan to launch with a Super Bowl Party?*
Yes
No
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Do we have permission to list your personal cell phone number on the Connect Group List?*
No
Yes
I have completed *
Connect Training
Win 1
Make 1
Start 1
ESF
Bethel School of Discipleship: Ministry Track
Do you have any connection to Bethel staff? *
Yes
No
If yes, what is the staff member's name?
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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