Teen Application - Heartland TEC :: Teens Encounter Christ

To apply as an Adult Observer (21 and over) Click Here.

Please fill the form out completely and truthfully. To download a paper copy Click Here.

A $30 non-refundable deposit is required with your application. You can either mail it in or pay with a credit/debit card after submitting this form. The address for mailing checks will be provided on the next page.

Partial scholarships may be available for those who cannot pay for the whole weekend. For more info Click Here.

* Required

Personal Information:
First Name *	Last Name *	Nickname (Preferred Name)
Gender *	Birthdate *	Age *
School*		Year in School *

Street Address *
Contact Information:
City *	State *	Zip Code *

Please enter a valid address. Email Address *

Please include and area code. Phone Number *

Other Information:
Please list any school activities you are involved in. *	Why do you want to make a TEC weekend? *
Please list those you know who will be on the same weekend. *	Who recommended TEC to you? *

I confirm that I have answered all of the above information truthfully, and understand that I am expected to stay for the entire TEC weekend.

Your application will not be complete until you submit a parent permission slip and deposit. These are found on the next page.