Reach Rep

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Center/Location/Ministry Name* This field is required.
Global Teen Challenge
AK, Houston – Adult & Teen Challenge PNW - Alaska Women's Center (TCAK103)
AK, Wasilla – Adult & Teen Challenge PNW - Alaska Men's Center (TCAK101)
AL, Bay Minette – Adult & Teen Challenge, Bay Minette (TCAL105)
AL, Hayden – Adult & Teen Challenge, Hayden (TCAL102)
AL, Jones – Adult & Teen Challenge, Jones (TCAL104)
AL, Lincoln – Adult & Teen Challenge, Lincoln (TCAL103)
AL, Seale – Columbus Teen Challenge (TCGA130)
AR, Hot Springs – Adult & Teen Challenge Arkansas (TCAR101)
AR, Morrow – Teen Challenge Adventure Ranch (TCAR201)
AR, Russellville – Adult & Teen Challenge of the Greater South (TCAR302)
AZ, Casa Grande – Home of Hope, Casa Grande (TCAZ108)
AZ, Phoenix – Christian Life Ranch (TCAZ102)
AZ, Phoenix – Greater Phoenix Teen Challenge (TCAZ103)
AZ, Tucson – Springboard Home For Youth (TCAZ104)
AZ, Tucson – Tucson Teen Challenge (TCAZ105)
BC, Abbotsford – Okanagan Men's Centre (TCCAN302)
BC, Chilliwack – Chilliwack Men's Centre (TCCAN303)
BC, Surrey – Patricia Hope House (TCCAN301)
CA, Anderson – Happy Valley (TCCA401)
CA, Bakersfield – Kern County Teen Challenge, Bakersfield (TCCA201)
CA, Ceres – Adult & Teen Challenge Faith Home Network (TCCA500)
CA, Emigrant Gap – Sierra Pacific (TCCA704)
CA, Eureka – Straight Street Men's Center (TCCA601)
CA, Eureka – Streams of Living Water (TCCA602)
CA, Felton – Coast Counties Teen Challenge (TCCA706)
CA, Freedom – Freedom Women's Center (TCCA703)
CA, Jamestown – Faith Home Teen Challenge Short Term Men's Care Center (TCCA502)
CA, Lincoln – Alpha Henson Training Center (TCCA406)
CA, Lynwood – Los Angeles County Teen Challenge (TCCA204)
CA, McKinleyville – Trinity Teen Challenge (TCCA604)
CA, Oakland – Eastbay (TCCA303)
CA, Reedley – Central Valley Teen Challenge (TCCA210)
CA, Riverside – Inland Empire Teen Challenge (TCCA200)
CA, Royal Oaks – Pajaro Teen Challenge (TCCA701)
CA, San Diego – San Diego County Teen Challenge (TCCA206)
CA, San Francisco – Adult & Teen Challenge, San Francisco (TCCA100)
CA, San Jose – Alum Rock (TCCA301)
CA, San Jose – Asbury Family Center (TCCA302)
CA, San Jose – Teen Challenge Girls Las Vegas (TCNV103)
CA, Santa Ana – Orange County Teen Challenge (TCCA207)
CA, Shafter – Kern County Teen Challenge, Shafter (TCCA202)
CA, Susanville – High Desert Adult & Teen Challenge (TCCA705)
CA, Ventura – Ventura/Tri-County Teen Challenge (TCCA205)
CO, Denver – 180 Ministries, Denver (TCCO102)
CO, Olathe – 180 Ministries, Olathe (TCCO101)
CT, Moodus – Teen Challenge Connecticut (TCCT101)
DE – Eastern Shore Crisis/Referral (TCDE104)
DE, Bridgeville – Delmarva Adult & Teen Challenge, Home of Hope (TCDE102)
DE, Hockessin – Delmarva Adult & Teen Challenge (TCDE103)
DE, Seaford – Delmarva Adult & Teen Challenge (TCDE101)
FL, Bonifay – Gateway Academy (TCFL108)
FL, Davie – South Florida (TCFL104)
FL, Fort Myers – Southwest Florida, Ft. Myers, Men (TCFL105)
FL, Fort Myers – Southwest Florida, Ft. Myers, Women (TCFL106)
FL, Jacksonville – Teen Challenge, Jacksonville (TCFL110)
FL, Jacksonville – Teen Challenge, Jacksonville (TCFL113)
FL, Pensacola – Teen Challenge, Pensacola (TCFL111)
FL, Pensacola – Teen Challenge, Pensacola (TCFL112)
FL, Sanford – Central Florida (TCFL102)
FL, Tallahassee – Tallahassee Teen Challenge (TCFL109)
FL, Vero Beach – Treasure Coast Boys Academy (TCFL119)
GA, Columbus – Columbus Women's Home (TCGA121)
GA, Dublin – Middle Georgia Teen Challenge (TCGA123)
GA, Loganville – Adult & Teen Challenge Greater Atlanta (TCGA200)
GA, Loganville – ATC Greater Atlanta (TCGA200)
GA, Meansville – Prayer Mountain Boys Academy (TCGA125)
HI, Honolulu – Oahu Men's Training (TCHI102)
HI, Keaau – Big Island Teen Challenge (TCHI101)
HI, Kihei – Maui Men's Induction (TCHI104)
HI, Pahoa – Home of Hope, Pahoa (TCHI103)
IA, Colfax – Teen Challenge of the Midlands, Colfax (TCIA101)
ID, Buhl – Adult & Teen Challenge PNW - Twin Falls Women's Center (TCID102)
ID, Nampa – Adult & Teen Challenge PNW - Boise Girls Academy (TCID101)
IL, Carlinville – Adult & Teen Challenge of Illinois, Carlinville (TCIL103)
IL, Pekin – Adult & Teen Challenge of Illinois, Pekin (TCIL102)
IN, Elkhart – Adult & Teen Challenge Northern Indiana (TCIN106)
IN, Indianapolis – Grace House Teen Challenge (TCIN105)
IN, Lebanon – Central Indiana Teen Challenge (TCIN101)
IN, Rensselaer – Jasper County Recovery Home (TCIN107)
IN, Terre Haute – Wabash Valley Teen Challenge (TCIN103)
KS, Brewster – Victory House Christian Academy (TCKS401)
KS, Hutchinson – Freedom Challenge - Wichita, KS (TCKS501)
KS, Lawrence – Heart of America Teen Challenge (TCKS201)
KY, Dixon – Teen Challenge of W Kentucky, Dixon (TCKY104)
KY, Dixon – Teen Challenge of W Kentucky, Dixon (TCKY105)
KY, Louisville – Priscilla's Place (TCKY201)
KY, Manchester – Chad's Hope (TCKY202)
KY, Nebo – Heartland Boys Academy (TCKY107)
LA, Arnaudville – Adult & Teen Challenge, Lafayette (TCLA108)
LA, Charenton – The Bridge Adult & Teen Challenge (TCLA109)
LA, Dodson – Mt. Grace Adult & Teen Challenge (TCLA102)
LA, Minden – Adult & Teen Challenge Family Center (TCLA107)
LA, New Orleans – Adult & Teen Challenge, New Orleans (TCLA101)
LA, Ruston – Adult & Teen Challenge, Ruston (TCLA104)
LA, Shreveport – Adult & Teen Challenge, Shreveport (TCLA106)
LA, Winnfield – Mt. Grace Adult & Teen Challenge (TCLA105)
MA, Brockton – Teen Challenge Massachusetts (TCMA101)
MA, Wareham – Bloom Teen Challenge (TCMA106)
MA, Worcester – Teen Challenge Greater Boston (TCMA102)
MB, Brandon – Brandon Women‚Äôs Centre (TCCAN202)
MB, Winnipeg – Steinbach Centre (TCCAN206)
MB, Winnipeg – Winnipeg Men‚Äôs Centre (TCCAN201)
MD, Baltimore – Adult & Teen Challenge, Baltimore (TCMD301)
MD, Capitol Heights – Adult & Teen Challenge of Maryland (TCMD201)
MD, Cumberland – Tri-State Adult & Teen Challenge (TCMD401)
ME, Winthrop – Teen Challenge Maine (TCME101)
MI, Detroit – Life Challenge, Detroit (TCMI402)
MI, Detroit – Life Challenge, Detroit (TCMI403)
MI, Flint – Life Challenge, Flint (TCMI401)
MI, Norton Shores – Western Michigan Adult & Teen Challenge, Muskegon - Men (TCMI102)
MI, Norton Shores – Western Michigan Adult & Teen Challenge, Muskegon - Women (TCMI103)
MI, Saginaw – Mid-Michigan Adult & Teen Challenge, Saginaw (TCMI201)
MI, Saginaw – Mid-Michigan Adult & Teen Challenge, Saginaw (TCMI202)
MN, Brainerd – Adult & Teen Challenge Brainerd (TCMN108)
MN, Buffalo – Lakeside Academy (TCMN103)
MN, Duluth – Adult & Teen Challenge, Duluth (TCMN106)
MN, Minneapolis – Adult & Teen Challenge, Minneapolis (TCMN101)
MN, Minneapolis – Adult & Teen Challenge, Minneapolis (TCMN102)
MN, Rochester – Adult & Teen Challenge, Rochester (TCMN107)
MN, Rochester – Adult & Teen Challenge, Rochester (TCMN109)
MO, Branson West – Ozarks Teen Challenge (TCMO104)
MO, Cape Girardeau – Adult & Teen Challenge Mid America (TCMO401)
MO, Clark – Primrose Hill Adult & Teen Challenge (TCMO502)
MO, High Ridge – Adult & Teen Challenge St. Louis Men (TCMO201)
MO, High Ridge – Adult & Teen Challenge St. Louis Women (TCMO202)
MO, Kansas City – Kansas City Girls Academy (TCMO106)
MO, Neosho – Adult & Teen Challenge of the 4 States (TCMO501)
MO, Ozark – Adult & Teen Challenge USA National Office
MO, Springfield – Hope Homes of the Ozarks (TCMO601)
MS, Brandon – Home of Hope, Brandon (TCMS301)
MS, Georgetown – Mercy House Adult & Teen Challenge (TCMS201)
MS, Poplarville – Teen Challenge of Mississippi (TCMS101)
MT, Billings – Adult & Teen Challenge PNW - Billings Men's Center (TCMT102)
MT, Missoula – Adult & Teen Challenge PNW - Missoula Women's Center (TCMT101)
NC, Browns Summit – Hannah's Haven (TCNC501)
NC, Carthage – Adult & Teen Challenge of Sandhills, NC (TCNC103)
NC, Concord – Adult & Teen Challenge of Sandhills (TCNC107)
NC, Conover – North Carolina Boys Academy (TCNC601)
NC, Franklin – Adult & Teen Challenge of the Smokies Men's Center (TCNC401)
NC, Greensboro – Greater Piedmont Adult & Teen Challenge (TCNC201)
NC, Kannapolis – Adult & Teen Challenge, Kannapolis (TCNC105)
NC, Raleigh – Adult & Teen Challenge (TCNC104)
ND, Mandan – North Dakota Adult & Teen Challenge - Men (TCND102)
ND, Mandan – North Dakota Adult & Teen Challenge - Women (TCND103)
NE, Beatrice – Sheepgate Women's Center (TCNE103)
NH, Manchester – Teen Challenge New Hampshire (TCNH101)
NJ, Lebanon – New Jersey Men's Teen Challenge (TCNJ101)
NM, Sandia Park – Adult & Teen Challenge New Mexico Home of Grace (TCNM101)
NM, Tijeras – Teen Challenge of New Mexico, The Men of Valor Campus (TCNM102)
NV, Las Vegas – Las Vegas Men's Center (TCNV102)
NV, Sparks – Reno Adolescent Boy's Teen Challenge (TCNV101)
NY, Alcove – Albany Adult & Teen Challenge Women's Home (TCNY205)
NY, Brooklyn – Teen Challenge Brooklyn (TCNY301)
NY, Buffalo – Buffalo Adult & Teen Challenge (TCNY207)
NY, Garrison – Hoving Home (TCNY501)
NY, New Baltimore – Albany Teen Challenge (TCNY204)
NY, Syracuse – Syracuse Teen Challenge (TCNY206)
NY, Vestal – Hope Adult & Teen Challenge (TCNY401)
NY, Vestal – Hope Adult & Teen Challenge (TCNY402)
NY, West Babylon – Long Island Men's Center (TCNY201)
NY, West Babylon – Long Island Women's Center (TCNY202)
OH, Columbus – Adult & Teen Challenge Ohio (TCOH201)
OH, Miamisburg – His Hope Adult & Teen Challenge (TCOH601)
OH, Milford – Cincinnati Teen Challenge Men's Ranch (TCOH301)
OH, Milford – Cincinnati Teen Challenge Women's Home (TCOH302)
OH, Perry – Teen Challenge of Greater Cleveland (TCOH401)
OH, Toledo – Adult & Teen Challenge of NW Ohio (TCOH701)
OH, Youngstown – Ohio Valley Adult & Teen Challenge (TCOH501)
OH, Youngstown – Ohio Valley Adult & Teen Challenge Esther's House (TCOH503)
OK, Cache – Sonrise Adult & Teen Challenge (TCOK101)
OK, Checota – Freedom House Adult & Teen Challenge (TCOK107)
OK, Disney – New Lifehouse Academy (TCOK102)
OK, Jay – Brush Creek Academy (TCOK106)
OK, Lawton – Freedom Challenge Lawton Correctional (TCOK110)
OK, Sapulpa – Green Country Teen Challenge (TCOK111)
OK, Stillwater – Central Oklahoma Adult & Teen Challenge (TCOK104)
ON, Thunder Bay – Thunder Bay Men's Centre (TCCAN203)
ON, Thunder Bay – Thunder Bay Women's Centre (TCCAN204)
OR, Bend – Adult & Teen Challenge PNW - Central Oregon Men's Center (TCOR104)
OR, Estacada – Adult & Teen Challenge PNW - Portland Men's Center (TCOR103)
OR, Eugene – Adult & Teen Challenge PNW - Eugene Women's Center (TCOR107)
OR, Shedd – Adult & Teen Challenge PNW - Willamette Valley Men's Center (TCOR102)
PA, Cheswick – Western PA Adult & Teen Challenge (TCPA109)
PA, Rehrersburg – PAATC Men's Program (TCPA101)
PA, Rehrersburg – PAATC Women's Program (TCPA105)
PR, Bayamon – Teen Challenge de Puerto Rico, Inc. (TCPR201)
RI, Providence – Rhode Island Women's Center (TCRI101)
SC, Columbia – South Carolina Men's Center (TCSC201)
SC, Georgetown – Teen Challenge of South Carolina (TCSC101)
SD, Brookings – Teen Challenge of the Dakotas (TCSD101)
TN, Chattanooga – Adult & Teen Challenge MidSouth, Chattanooga - Men (TCTN200)
TN, Chattanooga – Adult & Teen Challenge MidSouth, Chattanooga - Women (TCTN201)
TN, Clarksville – Middle Tennessee Adult & Teen Challenge (TCTN602)
TN, Livingston – Adult & Teen Challenge of the Upper Cumberland (TCTN701)
TN, Memphis – Memphis Adult & Teen Challenge (TCTN601)
TN, Murfreesboro – Adult & Teen Challenge (TCTN603)
TN, Savannah – Adult & Teen Challenge, Inc., Tennessee Valley (TCTN501)
TX, Alvin – Adult & Teen Challenge of Texas, Alvin (TCTX401)
TX, Amarillo – Life Challenge of Amarillo (TCTX701)
TX, Azle – Adult & Teen Challenge of Texas, Azle (TCTX406)
TX, Bastrop – New Hope Boys Home (TCTX409)
TX, Brenham – Adult & Teen Challenge of Texas, Brenham (TCTX407)
TX, Clarksville – Adult & Teen Challenge of Texas, East Texas Women's Program (TCTX413)
TX, Dallas – Adult & Teen Challenge of Dallas (TCTX301)
TX, Deport – Adult & Teen Challenge of Texas, East Texas Men's Campus (TCTX412)
TX, Fort Worth – Fort Worth Teen Challenge (TCTX601)
TX, Kerrville, Hill Country Camp (TCTX414)
TX, Kingsville – Adult & Teen Challenge of Texas - Corpus Christi (TCTX411)
TX, Magnolia – Adult & Teen Challenge of Texas, Magnolia (TCTX404)
TX, Midland – Teen Challenge Adult Centers of Texas, Midland - Men (TCTX200)
TX, Midland – Teen Challenge Adult Centers of Texas, Midland - Women (TCTX203)
TX, Round Rock – THRIVE Girls Academy (TCTX410)
TX, San Antonio – Adult & Teen Challenge of Texas, San Antonio - Men (TCTX403)
TX, San Antonio – Adult & Teen Challenge of Texas, San Antonio - Women (TCTX402)
UT, Tooele – 180 Ministries for Women (TCUT180)
VA, Fredericksburg – Beauty for Ashes (TCVA303)
VA, Fredericksburg – Fredericksburg Teen Challenge (TCVA301)
VA, Mount Jackson – Shenandoah Valley Teen Challenge (TCVA401)
VA, Mt. Jackson – Shenandoah Referral Center (TCVA404)
VA, Mt. Jackson – Shenandoah Valley Women Teen Challenge (TCVA402)
VA, Newport News – Mid Atlantic Teen Challenge (TCVA101)
VA, Richmond – Teen Challenge Richmond (TCVA302)
VA, Roanoke – Eastern Appalachian Teen Challenge (TCVA203)
VT, Hardwick – Teen Challenge of Vermont, Hardwick (TCVT102)
VT, Johnson – Teen Challenge of Vermont, Johnson (TCVT101)
WA, Graham – Adult & Teen Challenge PNW - Graham Women's Center (TCWA101)
WA, Pasco – Adult & Teen Challenge PNW - Tri-Cities Men's Center (TCWA107)
WA, Renton – Adult & Teen Challenge PNW - Seattle Men's Center (TCWA102)
WA, Richland – Tri-Cities Women's Jail Outreach (TCWA106)
WA, Spokane – Adult & Teen Challenge PNW - Spokane Men's Center (TCWA103)
WI, Green Bay – Adult & Teen Challenge Northeastern Wisconsin (TCWI301)
WI, La Crosse – Adult & Teen Challenge of Western Wisconsin (TCWI201)
WI, Milwaukee – Men's Center of Hope (TCWI101)
WI, Milwaukee – Robby Dawson Home for Women (TCWI100)
WV, Clarksburg – Northern Appalachian Teen Challenge (TCWV302)
WV, Princeton – Adult & Teen Challenge Appalachian Region (TCWV201)
WY, Casper – Teen Challenge of Wyoming (TCWY100)
WY, Sundance – Adult & Teen Challenge Black Hills (TCWY201)
My Location Isn't Listed
Other Ministry
5
What is the name of your center/location/ministry?
6
T-Shirt Size* This field is required.
Small
Medium
Large
XL
2XL
3XL
Should be Empty: