That's What Teens Say Application - FA2019
What teens from this fall said: "I was nervous and even scared to participate - but it ended up being the best weekend of my life! Thank you for this great program and opportunity!"

Congratulations on being nominated to participate in the That's What Teens Say Program! Someone in your life thinks you would enjoy and be a great contributor to this retreat weekend!

**Please only submit this application if you are available the weekend of November 8, 9, 10. 6 PM to 9 PM on Friday, 10 AM to 6 PM on Saturday and 11 AM to 4 PM on Sunday

**Program has a fee of $175 for the entire weekend participation including all meals and snacks. Please indicate by checking the statement below if you would like to be considered for financial assistance, as generous scholarships through the support of Busey Bank are available. Acceptance to the program will not be influenced by ability to pay.
Name
Your answer
Please consider me for one of the Busey Bank Scholarships.
Phone Number
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Email
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Instagram Handle (if you have one)
Your answer
Age
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Birthday
MM
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DD
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YYYY
School
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Grade
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BEST way for us to contact you:
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