Central Minnesota TEC Application Form
Dates of Central Minnesota TEC Weekends: (Please choose one)
______ CM638 (Fri) Dec 29-(Sun) Dec 31, 2023 ______ CM639 (Sat) Jan 13-(Mon) Jan 15, 2024
______ CM640 (Sat) Feb 17-(Mon) Feb 19, 2024 ______ CM641 (Sat) Mar 23-(Mon) Mar 25, 2024
______ CM642 (Sat) Apr 20-(Mon) Apr 22, 2024
The retreat begins at 9:30 AM the first day and concludes at 5:00 PM the third day.
Name ________________________________________ Sex___ Birthday________*Age_____
Preferred Name on Name Tag________________________ Email:_____________________
Permanent Address ____________________________________________________________
City__________________________ State_________ Zip________ Phone_______________
Emergency Phone Number while attending TEC:__________________
Address Used During School Year ______________________________________________
City__________________________ State_________ Zip________ Phone_______________
Marital Status ________________________ Spouse's Name ________________________
Religion___________________ School__________________________ Grad Year________
Parish___________________________________ Pastor______________________________
Parish Address______________________________ City__________ State___ Zip _____
Parent's Name_________________________________________________________________
Do you have any special dietary or health needs? _____________________________
How did you find out about TEC?(Please use specific names) _________________________________________________
*Age: Must be at least 16 years old to attend.
Total cost of weekend is $95. Please attach a non-refundable $30 registration deposit and
mail this form to Central Minnesota TEC, PO Box 8, Andover, MN 55304.
Phone 320-532-4455. Weekends are held in Little Falls, MN.
Phone during a weekend 320-632-1675. Once your application is submitted
you can assume you
have been accepted. Exceptions will be notified by mail immediately.
A letter with full
details regarding the retreat will be sent to you two weeks prior to your
weekend.
If you are a student living at home, please ask your parent or guardian to sign this
application and medical waiver. In case of illness or injury, I authorize those in
charge of the TEC weekend that my son or daughter attends, to obtain whatever medial
assistance that seems necessary for his or her well being.
Signed by ___________________________________ Phone: _____________________