Kids Impact Form

This form is for anyone in 5th grade or younger to fill out if they want to volunteer with their parents.

Full Name: *
First Name
Last Name
Address Line 1
Address Line 2
Postal Code
Primary Phone (or best contact number):*
Other Phone:
I am applying to:
I would like to serve in (ministry):
Have you personally accepted Jesus Christ as your Lord and Savior?
Please share your personal spiritual story. (Helpful Hints: When did you receive Christ? Where? How? Why?)
Describe your CURRENT WALK with Christ. What is He teaching you lately? How consistent is your devotional life?
How can Bethany Church best meet your needs?
If there is one thing you would improve about Bethany church, what would it be?
For adults we conduct background checks (through "Protect My Ministry") for all volunteers. Do you have any reason to believe that, if you were an adult, a background check would disclose any negative information?
If yes, explain:


Parents, please review the following documents with your child.  


Bethany Church Child Protection Policy for Volunteers

At Bethany we ask that ALL VOLUNTEERS, regardless of the ministry they are serving in, be familiar with and abide by our Child Protection Policy.  It is our desire to bring children and youth to Jesus.  It is our prayer that they will not be hindered in anyway.  Because we recognize that we are a reflection of God's love to those in our care we take seriously our responsibility to them. Therefore we have developed guidelines for all volunteers to follow.  Please read this Child Protection Policy for Volunteers document, then provide your signature below. 

By signing below, I indicate that I have carefully read, or had my mom or dad read to me, the Child Protection Policy for Volunteers document and that I know and understand the contents. 

Digital Signature:*
Date Signed:*

Bethany Church Statement of Faith

  1. We believe the Scriptures, both the Old and New Testaments, to be the inspired Word of God, without error in the original writings, the complete revelation of His will for the salvation of men, and the Divine and final authority for all Christian faith and life. (II Timothy 3:16, II Peter 1:20, 21). 
  2. We believe in one God, Creator of all things, infinitely perfect and eternally existing in three persons, Father, Son and Holy Spirit. (Deut. 6:4, Gen. 1:1, 1 John 5:7; Matt. 3:16, 17; II Cor. 13:14). 
  3. We believe that Jesus Christ is true God and true man, having been conceived of the Holy Ghost and born of the Virgin Mary. He died on the cross, a sacrifice for our sins, according to the Scriptures. Further, He arose bodily from the dead, ascended into heaven, where, at the right hand of the Majesty on High, He now is our High Priest and advocate. (John 1:14; Gal. 3:13; Heb. 9:28; Acts 1:9; Heb. 9:10-12). 
  4. We believe that the ministry of the Holy Spirit is to glorify the Lord Jesus Christ, and during this age to convict men, regenerate the believing sinner, and indwell, guide, instruct and empower the believer for godly living and service. (John 6:13,14; John 16:11; Matt. 18:3; I Cor. 14). 
  5. We believe that man was created in the image of God but fell into sin and is therefore lost and only through regeneration by the Holy Spirit can salvation and spiritual life be obtained. (Heb. 2:7-9; Gen. 6:5). 
  6. We believe that the shed blood of Jesus Christ and His resurrection provide the only ground for justification and salvation for all who believe, and only such as receive Jesus are born of the Holy Spirit, and thus become children of God. (Heb. 9:22; I Peter 1:18, 19; II Tim 1:12). 
  7. We believe that the Lord’s Supper and Water Baptism are ordinances to be observed by the Church during this present age. They are, however, not to be regarded as means of salvation (I Cor. 11; Matt. 28:19; Acts 2:38, 41). 
  8. We believe that the true Church is composed of all such persons who through saving faith in Jesus Christ have been regenerated by the Holy Spirit and are united together in the body of Christ, of which He is the head. 
  9. We believe that only those who are thus members of the true Church shall be eligible for membership in the local church. 
  10. We believe that Jesus Christ is the Lord and Head of the Church, and that every local church has the right, under Christ, to decide and govern its own affairs. 
  11. We believe in the personal and premillennial and imminent coming of our Lord Jesus Christ and that this “blessed hope” has a vital bearing on the personal life and service of the believer. (Acts 1:11, I Thess. 4:16-18). 
  12. We believe in the bodily resurrection of the dead; of the believer to everlasting blessedness and joy with the Lord, of the unbeliever to judgment and everlasting conscious punishment. (John 5:28; Luke 24:36-43; I Cor. 15:20-24; Rev. 20:11-15). 

I have prayerfully read, or had my mom or dad read these to me, and I agree with, and will support these statements in my service to others at Bethany.

Electronic Signature:
Date Signed:

Code of Ethics

Please review the Code of Ethics below. We want you to be completely aware of our ethics and what we desire of a volunteer. We ask that you agree to these by signing your name below.

  1. I desire to model Christ-likeness in my entire behavior, especially as I serve in ministry at Bethany Church. I aim to demonstrate my love for the Lord Jesus, my gratitude for His grace and forgiveness, and testify to the power of the Holy Spirit working in me. 
  2. I desire to demonstrate respect, loyalty, patience, courtesy, and maturity. 
  3. I will treat people of all races, religions, and cultures with respect and consideration. 
  4. I will not abuse children/youth/adults, in any way, including but not limited to: 
    • Physical abuse – e.g. strike, spank, shake, slap 
    • Verbal/Mental abuse – e.g. humiliate, degrade, threaten 
    • Sexual abuse – e.g. inappropriate touch or exposure 
  5. I will not possess or use illegal drugs. 
  6. I will not possess or use alcohol or tobacco in the context of ministry 
  7. I will not use or tolerate profanity. 
  8. I understand that any violation of this Code or of the Child Protection Policy, in all respects, may be grounds for dismissal from volunteer service or other action by the Church. 

I have read, or had my mom or dad read these to me, and I understand, and agree to adhere to the above Code of Ethics:

Electronic Signature:
Date Signed:

Parent Affirmation

I/we are delighted that my/our child is applying to volunteer at Bethany Evangelical Free Church alongside me/us. I/we are committed to modeling God's call to serve in the Body of Christ and take responsibility for serving with our child.

Parent Electronic Signature:*
Parent Electronic Signature: