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.This is a multiple date event. Attendance on both dates is highly encouraged.Please indicate the dates you are registering to attend.

Friday, October 9, 2026 ONLY

October 9th AND November 13, 2026

3.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.

4.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

5.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

6.We are planning PIZZA & fun sides for dinner!! Should we include you & those coming with you in the dinner count?

YES! Count us in!

NO! We will NOT be joining in for dinner!