BLACK & WHITE BALL (each teen needs to register separately, please)

*** REGISTRATION DEADLINE:  Wed, Feb 28th ***

March 9-11, 2018  

Friday - 7:30pm Evening Welcome Reception (dessert, fellowship, optional hymn singing for all ages)
Saturday - 2pm Church Services |  7-11:30pm Senior Tribute, Dinner & Prom for teens
Sunday - 9:30am Paintball for teens & young adults

* 1. Teen name & contact information:

* 3. Local church congregation:
(Cogwa membership is not required, but all attendees must adhere to our standards of dress & behavior.)

* 4. SKIP this question if you are NOT the oldest teen from your family attending prom.  

But IF YOU ARE the oldest, please let us know how many from your family will attend each of the following:

  0 1 2 3 4 5 6 7 8
7:30 - 9:30pm - Friday Evening Welcome Reception (all ages, dessert, optional hymn singing)
2pm - Sabbath Services
6-11pm - Younger Siblings Party: $5/kid payable in cash at drop off - for pizza, games, movies.  Ages 4-12, no diapers.
9:30am - Sunday Paintball ($35/teen or young adult, play all day, includes all equipment and paint)

* 5. Please check the box to affirm that you agree to dress appropriately for the dinner and prom:

* 6. Prom Dinner:  Do you prefer Roast Beef with roasted potatoes and haricots verts (thin french green beans) or Chicken Marsala with pasta? 

If you don't answer this question, we'll order Roast Beef for you. ;-)

* 7. Please let us know of any allergies or other needs.

* 8. This hotel is about 3 miles from the Friday night reception, church services, & prom and 17 miles from paintball.  We have a group rate of $85+tax/night which includes breakfast for up to 4 guests.   To make reservations, call 931-388-3326 by Feb 10th & mention that you are with Church of God. 

Baymont Inn & Suites
715 James M Campbell Blvd W.
Columbia, TN 38401

How many rooms do you expect to use?


1 -  Review the information above and make any changes necessary.  Print this page or save a screen shot if you would like a copy.  (You won't be able to view/edit your responses after submitting.)

2 - MAIL PAYMENT - Please make out checks to COGWA-Nashville and mail promptly to:
 SE Regional Prom Weekend
 1814 Rock Springs Rd
 Columbia, TN 38401 

_______ x $35/teen for Dinner & Prom ($30 if registered by Feb 10th)

_______ x $35/teen or young adult for Paintball (includes all equipment & paint; you can play all day!)  

3 - CLICK the "SUBMIT" button below.  

See facebook @SERegionalProm for details - we look forward to seeing you in March!

Questions?  Contact Sharon Babcock | |  763.486.7877