Candidate Application
Location: Trinity CRC in Rock Valley
Dates: November 22-24, 2019
Reunion: December 8, 2019

Please bring a $50 check made payable to TriStates TEC to the weekend or mail it to:
Tri-State TEC
% Gary Miller
1105 Main St.
Rock Valley, IA, 51247

Details about the Weekend:
Candidates are accepted from grades 9-12. Freshmen must be at least in the fall of their 9th grade year to be eligible to attend. Seniors can attend through the summer after high school graduation. Full or partial scholarships are available based on need and must be arranged prior to the weekend. Smoking, drinking or the use of other illegal drugs will not be tolerated at any time during the weekend. Candidates are expected to be present for the entire TEC weekend – Friday, 9:30 am until Sunday evening. Any questions can be sent to TriStateTEC@gmail.com.
Name (First and Last) *
Your answer
Student Cell Phone Number
Your answer
Student E-mail Address
Your answer
Student City/State/Zip *
Your answer
T-Shirt Size *
School *
Your answer
Year of Graduation *
Your answer
Male or Female *
Snapchat Name
Your answer
Mother's Name
Your answer
Mother's Phone Number
Your answer
Mother's E-mail Address
Your answer
Father's Name
Your answer
Father's Phone Number
Your answer
Father's E-mail Address
Your answer
Church You Attend
Your answer
Church E-mail
Your answer
Any food allergies or other concerns we need to know about?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy