Form

Please register so we have enough space and materials available:

Atoka County Community Gathering Registration

Wednesday, May 15th 12:00pm to 1:00pm

Bentley Baptist Church

1204 Main St, Atoka, OK 74525

If your church has NOT enrolled in CarePortal and would like to learn more please click here.

First name*

Last name*

Email*

Phone number*

Organization or Church Representing*

Organization or Church Role*

Name of guest(s) or church member(s) you wish to invite

Are there any specific questions you may have or topics that may be helpful to you?