Big Weekend 2026 Registration Form

Big Weekend 2026 Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Current Grade
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
T-Shirt Size*
We cannot guarantee shirt size if not registered by January 28th.
Name of Church You Regularly Attend
Please List Below Any Allergies (Dogs, cats, food, or other)
List 2 friends of your gender and grade that you would like to be with.
(No guarantee that you will be with them, but we'll try our best.)
COST: $50 - 1st Child; $40 - 2nd Child; $30 - 3rd Child

Make checks payable to First Baptist Church or pay online at fbcponca.org/give.

I (we), the undersigned parent(s) or guardian(s) of the above participant, do hereby release and discharge First Baptist Church of Ponca City and the church I am attending with and its representatives and staff from all liability of any kind, upon any claim or course of action which might be asserted on behalf of said minor against said church, representatives or staff. Furthermore, in the event of an accident, if staff is unable to contact parent or guardian, I (we) hereby grant permission to said staff to administer necessary first-aid and or to take applicant to the nearest hospital or medical facility for additional treatment.
Parent/Guardian Name*
Signed*

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