TEC #145 Weekender Registration

Weekender Info

First Name *

Last Name *

Preferred Name (if different)

Gender *

T-Shirt Size *

Email Address *

Phone * (10 digits)

Birth Month *

Birth Day *

Birth Year *

Address *

City *

State *

Zip *

School *

Grad Year *

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 / Guardian 1

First Name *

Last Name *

Phone * (10 digits)

Email *

Parent / Guardian 2 (optional)

First Name

Last Name

Phone (10 digits)

Church Info

We also like to keep your church informed about TEC. If you currently attend a church, please provide the contact information below. For new churches not in our list, adding the address and city is especially helpful.

Church Name

Church Address

Church City

Church State

Church Zip

Pastor / Youth Director's First Name

Pastor / Youth Director's Last Name

Other Info

Please list any food allergies or medically necessary dietary needs, along with the severity.

Food Allergies

Allergy Severity

Additional Comments

Where did you hear about TEC? *

Friend's name (if applicable)

TEC is a tobacco-free weekend.

TEC #145 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.

Weekender Registration