Show-Me Lutheran TEC
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Wheat Letters
TEC Application to Attend a Weekend Retreat
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 submit your form.
If you are unable to pay the fee, click
here
to fill out a scholarship application.
Much of the communication about TEC is carried out through email. Make sure all emails below are checked on a regular basis.
*
Indicates required field
Desired Weekend to Attend
*
TEC 118 (January 19-21, 2019)
Select the weekend that you would like to attend.
Applicant Name
*
First
Last
Applicant Email
*
Much of the communication about TEC is carried out through email. Make sure this is an email you check on a regular basis.
Name Applicant Lkes to be Called
*
Applicant 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
.
Applicant Address
*
Line 1
Line 2
City
State
Zip Code
Country
Applicant Phone Number
*
(555) 555-5555
I agree to receive text messages about TEC to this phone number.
*
Yes
No
Parent/Guardian Name
*
Parent/Guardian Email
*
Much of the communication about TEC is carried out through email. Make sure this is an email your parent/guardian checks on a regular basis.
Church/School Information
School/Employer
*
Church Denomination
*
Lutheran Church Missouri Synod (LCMS)
Evangelical Lutheran Church of America (ELCA)
Other
If other denomination, please indicate below.
*
Church Name
*
Church Address
*
Line 1
Line 2
City
State
Zip Code
Country
Emergency Contacts
Emergency Contact 1
*
Emergency Contact 2
*
Emergency Contact 1 Phone Number
*
Emergency Contact 2 Phone Number
*
TEC
How did you find out about TEC?
*
Why do you wish to attend TEC?
*
Do you know anyone else attending this TEC weekend? If so, who?
*
Has anyone in your family attended a TEC? If so, who?
*
Medical/Special Needs
Check below if you are...
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Diabetic
Physically challenged
On any medications
On a special diet
If you checked any medical or special needs option, please detail below.
*
Please enter any other important information below.
*
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. 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.
Submit