Encounter Weekend Registration

Important Information:

Location: First Baptist Church Franklinton

Date: January 16-18

Payment: $50.00 per person
Housing: Students will stay in "Host Homes"

*We will host a parent meeting in December with vital information*

*Registration closes December 1, 2025*

*If you have more than one student, fill out a form for each student*

Parent Name

Parent Email

This address will receive a confirmation email

Parent Phone Number

Student Name

Student Email

This address will receive a confirmation email

Student Phone Number

Student Grade (2025-2026)

Student Age (as of January 16, 2026)

Student Birthday

Student Gender

Student Home Address

Student Shirt Size

List any known allergies and required medications.

If you're not paying online, please select one of the following options and put

Encounter Weekend Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

January 16-18, 2026

Please fill out this form and click submit.