Membership Status | Mt. Nebo Atlanta

Membership Status Form

Please complete the following form for each member of your household. including child(ren) under the age of 18.

Complete this form for every member of your household. If a child does not have a mobile phone, please put 000-000-0000 in the phone space.

If you have a child(ren) in your household under the age of 18, please fill out a separate form for each child.

First Name:

Last Name:

Email:

Primary Contact Number (to receive voice calls & text messages):

Membership Status: Required

I am currently a member of Mt. Nebo

I am no longer a member of Mt. Nebo.

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Permissions & Agreements

Photo/Video Consent (for church communications and social media)

Agreement with Church Statement of Faith or Covenant

Consent to Receive Church Emails and Texts

By completing this membership form will ensure that you receive information and communication from Mt. Nebo. You will be opted in to receive communication from Mt. Nebo until you change your membership status.

We are focused forward to REIMAGINE Mt. Nebo in 2025 and beyond!

Making Connections • Building Communities,

The DEADLINE to complete the 2022 Mt. Nebo Membership Status form is December 31, 2021.

Thanks for your submission!