TECite Registration to Attend a Weekend Retreat
Complete this form to register to attend your very first Teens Encounter Christ weekend!

Click here to see the up-to-date list of upcoming TEC weekends’ dates and locations:
https://www.showmetec.com/upcoming-weekends.html

We assure you that the information that you provide in this form will be used only for official Show-Me TEC purposes. You will not be solicited and your information will be kept confidential.

* The full fee for attending a TEC weekend is $50. In order to be sure the weekends are full, we do not reserve your place until at least a $25 deposit is received. You will be prompted to pay a deposit of $25 or the full fee of $50 when you click on "Submit" below. All payments are handled through PayPal, but you do not need to have a PayPal account. You may simply pay with a credit or debit card. * Please include the name of the TEC participant that you are paying for under "Note to seller." *

If you are unable to pay the fee, please mark your request for a scholarship at the end of this application.

Much of the communication about TEC is carried out through email. Make sure all emails below are checked on a regular basis.
A copy of your responses will be sent to the email address you enter into the field just below.
Email address *
Basics
Desired Weekend to Attend *
Applicant's First Name *
Your answer
Applicant's Last Name *
Your answer
Name Applicant Likes to Be Called
Your answer
School / Employer Name *
Your answer
Gender *
Emergency Contacts
Emergency Contact #1 - Full Name *
Your answer
Emergency Contact #1 - Phone number *
Your answer
Emergency Contact #2 - Full Name *
Your answer
Emergency Contact #2 - Phone Number *
Your answer
Parent / Guardian Name (NA for adults) *
Your answer
Parent / Guardian Email Address (may be the same as the first email you provided) (NA for adult applicants = repeat your email) *
Your answer
Applicant's Information
Applicant's Birthday *
TEC weekends are primarily designed for youth between the ages of 16-20. If you are younger than 16 and desire to attend, please contact Rev. Ron Roma at ronroma01@gmail.com or Rev. Travis Scholl at schollt@csl.edu.
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At the time of the weekend, the applicant will be... *
Applicant's Street Address *
Your answer
Applicant's Address Line 2
Your answer
Applicant's City *
Your answer
Applicant's State *
Applicant's Zip Code *
Your answer
Applicant's Phone Number *
Your answer
Applicant's Email (may be the same as the first email you provided) *
Your answer
Church Information
Church Denomination *
Church Name *
Your answer
Church Street Address *
Your answer
Church Address Line 2
Your answer
Church City *
Your answer
Church State *
Church Zip Code *
Your answer
Teens Encounter Christ
TEC is intentionally designed as a three-day retreat, so participants should plan to be there for the full retreat, which is 9 a.m. on Saturday through 6 p.m. on Monday. *
How did you find out about TEC? *
Your answer
Why do you wish to attend TEC? *
Your answer
Do you know anyone else attending this TEC weekend? If so, who? *
Your answer
Has anyone in your family attended a TEC? If so, who? *
Your answer
Medical / Special Needs
Do you have any physical challenges? *
Do you have diabetes? *
Are you on a special diet and/or allergic to any foods? *
If you checked any physical, medical, or special needs option, please detail below as specifically as possible. (For example, are you allergic to peanuts or tree nuts or both?)
Your answer
Will you need to take any medications during the weekend? *
Please list any medications you need to take during the weekend.
Your answer
Please enter any other important information below.
Your answer
Payment
* The full fee for attending a TEC weekend is $50. In order to be sure the weekends are full, we do not reserve your place until at least a $25 deposit is received. When you click "Submit" below, you will see a link on the next page to the payment page on the Show-Me TEC website. You must click on that link and complete the payment process and complete your registration. All payments are handled through PayPal, but you do not need to have a PayPal account. You may simply pay with a credit or debit card. *
If you are unable to pay any or all of the application fee of $50, you may request a scholarship. Please enter the amount requested below and submit this application. If you are not requesting the full amount, you can pay the rest of your fee on the next screen, or the balance will be due upon check-in on the Saturday morning of the retreat. If you are requesting the full amount, you will not need to proceed to the payment web page after submitting this form.
Your answer
A copy of your responses will be emailed to the address you provided.
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