Thank you for your interest in attending the upcoming Gathering at BCOG! By completing this survey you will help us accurately prepare for all activities, including those being planned for youth.

1.Your Name & contact information:

Name:

Cell Phone #:

2.Please list other ADULTS who will be coming with you. If NO ONE ELSE IS COMING WITH YOU, please type "none" in the first box.

1.

2.

3.

4.

3.Please list YOUTH ages PREK - 5th GRADE you will be bringing with you. If NONE, please type "none" in the first box.

1.

2. Name & Age

3. Name & Age

4. Name & Age

5. Name & Age

6. Name & Age

7. Name & Age

4.Please list YOUTH ages 6th - 12th GRADE you will be bringing with you. If NONE, please type "none" in the first box.

1.

2. Name & Age

3. Name & Age

4. Name & Age

5. Name & Age

6. Name & Age

7. Name & Age

5.We are doing a CHURCH POTLUCK to taste everyone's FAVORITE family food dishes! The church will provide a "meat staple". You are invited to bring something of your choice that serves approximately 12 - 15 people (e.g. 9x12 pan, family-size bowl, crock pot etc.)

YES! I am planning to bring something!

NO! I don't think I am able to bring something