Teen Application

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✤ Encounter the person of Jesus Christ, risen and alive today
✤ Experience God’s love as radical, unconditional, and freely given
✤ Share a faith journey with other teens, young adults, and adults
✤ Learn more about the beauty of the Catholic faith
✤ Enjoy a relaxing time away from daily stresses to pray and reflect
✤ Have fun meeting other people and sharing community

Personal Information

First Name:(required)

Last Name:(required)

E-Mail Address:(required)

Phone Number (xxx-xxx-xxxx):(required)

Address (City, State, Zip):(required)

Date of Birth (mm/dd/yyyy):(required)

Current Age:(required)

Parents' Full Names:(required)

Parent Phone Number (xxx-xxx-xxxx):(required)

Release of Information: I give North Coast Spirit TEC permission to include my name, address, phone number, and E-Mail address in the weekend roster.

Name of Current School:(required)

Were you baptized Catholic?(required)

Yes No

If you are not Catholic, what religion do you practice?

If you are Catholic, what parish are you from?

What sacraments of initiation (Baptism, Eucharist, Confirmation) have you received?(required)

Allergies to medications or food:

Medical concerns, dietary restrictions, special needs:

List any other youth retreat or faith conference experiences you have had:

List any friends or family members who have made a TEC retreat:

Parish involvement/activities/ministries:

How would you describe your relationship with God? With the Church?

Please tell us about yourself by answering one of the following questions: • Where am I on my faith journey? • Why do I want to make TEC? • What particular worries do I face? • What questions do I have about the Catholic faith?

Reference

*NOTE: Teens still in high school must also ask an adult who knows them (priest, youth minister, teacher, employer, adult family member, etc.) to submit an online reference form, which can be found here.

Reference Name(required)

Reference Phone Number(required)

Reference E-Mail Address

TEC Fee

(Covers all meals, room and board, and retreat materials)

$60.00

Print Copy

QUESTIONS?

Teen Application

Personal Information

Reference

QUESTIONS?

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