Central Minnesota TEC Application Form
Dates of Central Minnesota TEC Weekends: (Please choose one)
______ CM651 (Sat) Jun 28-(Mon) Jun 30, 2025 ______ CM652 (Fri) Aug 01-(Sun) Aug 03, 2025
______ CM653 (Fri) Oct 17-(Sun) Oct 19, 2025 ______ CM654 (Sat) Dec 27-(Mon) Dec 29, 2025
______ CM655 (Sat) Jan 17-(Mon) Jan 19, 2026 ______ CM656 (Sat) Feb 14-(Mon) Feb 16, 2026
______ CM657 (Fri) Mar 13-(Sun) Mar 15, 2026
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 $125. 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: _____________________