Teen Encounter Registration 2017

To apply for Teen Encounter you must be at least sixteen (16) years old.

A fee of $60 is suggested to cover the cost of food, accomodations, etc. Those unable to afford this fee will be asked only to pay what they can. More details regarding this fee, dates and times will be included in a follow-up letter to those applicants whom we are able to accept for the upcoming weekend.

Please note: after completing this form we will confirm your application by calling your parents.

Your name

Your email

Your age

Date of birth

Sex

Address

Postal Code

Home Phone Number

Parish

Pastor

Father's Name

Address

Mother's Name

Address

State of Health/Physical Disabilities/Special Needs

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