Southern Minnesota Teens Encounter Christ

Weekender Registration

*denotes requred field

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First and Last Name*		Preferred Name	Phone*
Address*		City*	State*	Zip*
Gender*	T-Shirt Size*	Email Address
Parent's Name(s)*		Parent(s) Email Address (if applicable)
Parent's Preferred Phone
Graduation Year*		School
Church		Church Phone
Church Address		City	State	Zip
Pastor/Youth Director's Name

Medical/Dietary/Special Needs

Additional Comments

Application will not be complete until a health form and $35.00 payment are received. Payment can be made by credit card upon completion of this application. Health form will be mailed to you upon acceptance starting approximately 4 weeks prior to the TEC weekend. Full or partial scholarships are available based on need.

Please call (507) 288-2347 with any questions.

PLEASE NOTE: TEC IS A TOBACCO FREE WEEKEND.