Lutheran Share The Word Teens Encounter Christ

(Eastern North Carolina)

Guest Registration

Please print the following information.

Youth participants must be at least 15 years old and have completed 1st semester of 9^th grade.

Circle the dates of the TEC you would like to attend.

	2009	2010	Youth__ Adult__ (21 or older)
Martin Luther King		#39 1/16-1/18
Labor Day	#38 9/5-9/7	#40 9/4-9/6	Today's Date___/___/____

TEC weekends start Saturday at 9:00 AM and end on Monday at 4:30 PM.

Name _____________________________________________ Male___ Female___ Date Of Birth___/___/_____

High school student: Freshman ___ Sophomore ___ Junior ___ Senior ___ College student: ____ N/A ______

Address__________________________________________________________________________ Age______

City______________________________ State______ Zip_______ E-Mail_______________________________

Phone (_____)_____-__________ School_________________________________________________________

Church Name_____________________________________ Denomination_______________________________

Date Of Baptism____/____/____ Date Of Confirmation____/____/____

Parent Or Guardian's Name(s)__________________________________________________________________

Please answer the following questions:

1) Why do you wish to make a TEC weekend? ____________________________________________________

__________________________________________________________________________________________

2) Do you know anyone else who will attend the weekend? ________ Who?______________________________

3) How did you hear about TEC? _______________________________________________________________

4) Do you play a musical instrument(s)? _____ If so, which ones? _____________________________________

5) List physical restrictions, medications, special diets, or allergies of which we should be aware. _____________

__________________________________________________________________________________________

I promise to remain open to what the Teens Encounter Christ weekend has to offer.

x__________________________________________ (Guest's signature)

I feel that this person is ready to attend a Teens Encounter Christ weekend.

x__________________________________________ (Pastor's signature - Required)

Please note: Youth participants must be at least 15 years old and have completed 1st semester of 9^th grade.

The total cost of the weekend is $130. Please return this registration along with a $55 non-refundable deposit.
Deposits will be returned if notification is given 2 weeks prior to the weekend. Make checks payable to "Share the Word T.E.C., Inc."

Mail or hand deliver to: Share the Word T.E.C. - Registration c/o Grace Lutheran Church 5010 Six Forks Road Raleigh, NC 27609

If you would like to request financial assistance, please attach a note with the amount and reason for the assistance. These requests will be strictly confidential and only the individual handling registration will know of the request.

Registrations MUST be received at least one week before the weekend. Guests are accepted on a first come, first served basis.

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