For the Teen Apllication
Click Here
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Please fill the form out completely and truthfully. To download a paper copy
Click Here
.
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Required
Personal Information:
First Name
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Last Name
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Nickname (Preferred Name)
Gender
*
Birthdate
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Place of Employment (If applicable)
Parish
Contact Information:
Street Address
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City
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State
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Please enter a valid zip code.
Zip Code
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Please enter a valid email address.
Email Address
Please inculde an area code.
Phone Number
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Please inculde an area code.
Work Phone Number (If applicable)
Other Information:
List any involvement you have with parish/community programs.
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Why are you interested in making a TEC weekend?
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Please list anyone who you know that will be on the same weekend.
Who recommended TEC to you?
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Please list any special health conditions (if applicable).
Emergency Contact Person
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Please enter a number.
Phone Number
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Relationship
*
By submitting this application I am confirming that I wish to participate in the TEC weekend and plan to stay the entire weekend at Conception Abbey. I agree to hereby release, indemnify and save harmless Conception Abbey, the Diocese of Kansas City-St. Joseph, the Heartland TEC Board, National TEC, and any persons connected with the TEC weekend from any and all liability, claims, damages for personal injury, or property loss/damage which may arise as a result of this retreat. I agree not to sue any of the above parties, their representatives, agents, employees, or volunteers.
You will also be asked to sign a copy of this statement before beginning the weekend.
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