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TEC #135 Weekender Registration

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)
 Birthdate*
Address*
 Preferred Phone* (10 digits numbers only)
City*
 State*
 Zip*
Other City (If not listed above)
 Gender*
 T-Shirt Size*
Email Address
 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.
Parent1 First Name*
 Parent1 Last Name*
Parent1 Phone (10 digits)
 Parent1 Email*
Parent2 First Name
 Parent2 Last Name
Parent2 Phone (10 digits)
 Parent2 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 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
 Medical Needs Severity
Additional Comments
Where did you hear about TEC?*
 Friend's name (if applicable)
PLEASE NOTE: TEC IS A TOBACCO FREE WEEKEND.

TEC 135 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.