Forms for Beth – Restoration Anglican Church

Contact Us

Name*
First Last
Candidate's Preferred Name*
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
Place of Birth*
City State / Province / Region
Date of Baptism*
Month
Day
Year
Place of Baptism*
Have you been confirmed?*
Date of Confirmation*
MM slash DD slash YYYY
At what church and in which denomination were you confirmed?*
Would you like to be received into the Anglican Communion by our Bishop?*
Have you made a public declaration of faith in Jesus? For example, were you baptized as an adult or adolescent?*

Name(s) of small group leader(s)*
Please separate with commas.
Your email address*
Additional email address(es)
Include all additional email addresses that should receive leader communication. This will serve as the primary contact for all small group leader information. Separate multiple emails by commas.
Are all the leaders you listed above members?*
- Yes
- No
Small group topic*
This should be no more than 6 words!
Brief small group description*
2-3 sentences about your small group. This will be published exactly as written in the small group registration form.
Is there a specific demographic?*
Men, women, couples, anyone, etc
What day will you meet?*
What time will you meet?*

: Hours

Minutes

AM/PM
What is your group's capacity?*
The number of adults you'd like in your group. Include yourself and your co-leaders in the total if you plan to register yourself once registration opens.
Bring the kids?*
- Yes, kids are welcome
- Infants only
- No kids
Maximum number of kids
If you want your group to close when you reach a certain number of children registered (regardless of if you're full of adults), indicate that number here.
Are you meeting in-person or online?*
- In-person
- Online
- Hybrid
Address of small group location
Street Address City State ZIP Code