CM TEC-Online Application

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IMPORTANT: This online application REQUIRES a $30 non-refundable deposit* to be made via Vanco. If you do not wish to pay the deposit online or you have a gift certificate, please print and fill out a paper application and submit with a check. *Deposit is transferrable to another weekend.

Bold fields are required.

Basic Information

Please enter your name. For your first name use your prefered name on your nametag.

Age Requirement: You must be at least 16 years old to attend.

First Name: Last Name:

Birthday: Age:

Gender:

Parents' Names - (youth only):

Home Address

Please enter your primary address. Students, this is your home address.

Emergency Phone is someone we can contact while you are at TEC.

Address: City: State: Zip Code: Home/Cell Phone: Email: Emergency Phone:

College Address

Students, this is your address from Sept 1 to May 30, if different from above.

Address: City: State: Zip Code: School/Cell Phone:

Other Information

Other Info

Please complete all that apply to you. School Name and Grade are only required for high-school and college students.

School name: Grade:

Marital Status:

Spouse's Name:

Religion:

Parish, if Catholic: Parish City:

Weekend Selection

Please Note

The retreat begins at 9:30 AM the first day and concludes by 6:00 PM the third day.

Weekend:

Applied before?

I have a gift certificate from (Please use specific name) How did you hear about TEC? (Please use specific names) Do you have any special dietary or health needs?

Total cost of weekend is $125. You are expected to pay a $30 non-refundable deposit at the time of application and the remaining balance upon arrival at the TEC center. Using the payment options to follow, you may also choose to pay the entire fee now.

If you have questions, the phone is 320-532-4455.

NOTE: 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 or email immediately. A letter with full details regarding the retreat will be sent to you two weeks prior to the retreat.