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TEC #133 Weekender Registration

Click here if you prefer a printable version of this form.

 

Weekender Info

Please fill out the following so that we can get you registered quickly.

First Name*
Last Name*
Preferred Name (if different than given name)
 
Address*
Preferred Phone* (10 digits numbers only)
City*
State*
Zip*
Other City
   
Gender*
T-Shirt Size*
Email Address
Birthdate (mm/dd/yyyy)*
Graduation Year*
School*
  Other School (if not listed)
 

Parent/Guardian Info

We like to make sure your parents are aware of what TEC is all about. Only their name and email is required, but phone is preferred so that we can contact them if needed. If your parent doesn't have an email address, please put N/A in that field.

Parent First Name*
Parent Last Name*
Parent First Name
Parent Last Name
Parent's Phone (numbers only)
Parent Email*
 

Church Info

We also like to keep your church informed about TEC. If you currently attend a church, please put the contact information below.

Church
Church Phone (numbers only w/area code)
Church Address
 
City
State
Zip
Pastor/Youth Director's First Name
Pastor/Youth Director's Last Name
   

Other Info

If you have any medical/dietary needs, or any other comments that you'd like to share with us, please let us know below.

Medical/Dietary/Special Needs
Please select the severity of your medical/dietary/special needs
Additional Comments
Where did you hear about TEC?*
Friend's name (if applicable)

 


PLEASE NOTE: TEC IS A TOBACCO FREE WEEKEND.

TEC 133 is FREE for first time attendees! There is no cost to attend.

A TEC retreat is a progression of events that build on each other. Because of this, we ask that Weekenders be present for the entire weekend from Friday morning until Sunday evening. Please contact Jodi Gleason or another TEC Council member with any questions.