TEC Weekend
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TEC Retreat

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TEC Team Member

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Home		 Register for a TEC retreat, Part I

Today's Date:

Date & location of TEC weekend you wish to attend:

Name:

Address:

City:
 State:
 Zip Code:

E-mail Address:

Home Phone (inc. area code):

Date of Birth (day, month, and year):

Year of high school Graduation:

School Attending:

Parish Attending:

Pastor:

Parents' Names:

Interests (including school/parish activities, clubs, organizations, and sports):

Why do you wish to attend a TEC retreat?

Do you know anyone else who plans to go on the same TEC retreat?
             Yes                        No

If so, who?