Phone number *
Phone type Mobile Home Work Other
Neighborhood *
If unsure, guess or choose other. This information helps us in planning Community Groups.
Select… Church Adams Crossing Ansley Ardmore Park Atlantic Station Bankhead Berkeley Park Blandtown Bolton/Bolton Hills Brookhaven Buckhead Collier Hills Colonial Homes Cross Creek Decatur Defoor Druid Hills/North Druid Dupont Commons Emory English Avenue Fernleaf Fourth Ward Georgia Tech Grove Park Home Park Howell Station Huff Road Knight Park/Howell Station LaVista Road Lindbergh Loring Heights Mableton Marietta Marietta Street Artery Memorial Park Midtown Moores Mill Morningside Mozely Park Northside/Collier Riverside Roswell Road Sandy Springs Smyrna Springlake Toco Hills Turner Field Underwood Hills Vinings Vinings on Chattahoochee Virginia Highlands West End West Highlands/Perry Homes Other
Marital status *
Select… Single Married Engaged Divorced Widowed
Household members
Please list your spouse (or fiancé/fiancée) and any children under the age of 18 or who are still living with you.
+ Add adult + Add child Have you been baptized? *
custom field
Select… Yes No
Are you currently on the membership roll of another church? *
Select… Yes No Not sure
Please briefly tell us your story of coming to a saving faith in Christ Jesus. *
This might be described as your testimony. It does not need to be a lengthy description, just what you would consider to be the highlights.
Have you attended Westside 101? *
Attending a session of Westside 101 is a pre-requisite to membership (although it does not mean you have to continue in the process). We will not set up an interview for you until after you attend, but we're happy to have you complete the form in preparation for doing so. Westside 101 is typically offered once every other month. To find the next offering, check out our Events page on our website at https://www.atlantawestside.org/pcoevents/.
Select… Yes No
Any comments or questions?
If you are not sure regarding any of the above answers, you can let us know here.
Please provide a photo of yourself.
To help our staff get to know you, we genuinely appreciate a clear photo of your face (just you or you with your spouse and/or kids). Unless you choose to add your profile to Church Center (which only you can do at https://atlantawestside.churchcenter.com/directory), then only those with proper authorization (primarily staff and officers) will ever be able to see it. Please upload a jpg image here.
Add up to 5 files. Maximum file size 10 MB.
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