Youth and Young Adult Ministry - Diocese of Grand Island

1225 S. Poplar St, Suite 100
North Platte, NE 69103
Toll-Free: (800)252-9325
Phone: (308)532-2707
Fax: (308)532-3574

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***If you have not attended TEC as a particpant, we request that you attend your first TEC as a participant.

First Name: MI: Last Name:

Address:

City: State: ZIP:

Home Phone: E-mail:

Parish or Church: Other:

Parish Town: Instrument (if you play one):

Weekend Preferred:

Prior TEC Team Experience:

Sex: Male Female Date of Birth

Trained in CPR? Yes No Trained in First Aid? Yes No

T-Shirt Size

I am interested in the following team position*:

*All first time TEC Team Members must work Wheat team!

Team Position:

Leadership Position:

I would like to give the following meditation:

Comments: