Gather 2026: Single Registration

November 6-8 | Please fill out this form and click submit.

First & Last Name (as you'd like it to appear on your nametag)

*

Age

*

Email

*

This address will receive a confirmation email

Confirm Email

*

This address will receive a confirmation email

Phone

*

Address

*

Sweatshirt Size

*

Please select one option.

Small Medium Large XL 2XL 3XL 4XL

Home Congregation

*

Food Allergies/Dietary Restrictions

Top Bunk/Bottom Bunk

*

Please select one option.

I'll take a top bunk I prefer a bottom bunk if possible I NEED a bottom bunk due to age/injury/health

Who would you like to stay in a cabin with?

*

Please select one option.

My Home Congregation Other Individuals

If you said 'Other Individuals', please list everyone you'd like to be in a cabin with:

How long will you be staying?

*

Please select one option.

Whole Weekend Friday & Saturday Just Saturday Saturday & Sunday

Payment $80.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

November 6-8

Please fill out this form and click submit.

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