Central Iowa Teens Encounter Christ

Central Iowa Teens Encounter Christ

Youth Candidate Application
TEC #91

November 20-22, 2026

Location:

Lynnville Friends Church

503 East Street

Lynnville, IA 50153

Candidates are expected to be present for the entire weekend (from Friday at 10 a.m.-7:00 p.m. on Sunday). This may include an absence from school.

Applications are accepted for candidates beginning the summer before their sophmore year of high school though the summer after their senior year.

Primary contact will be made to the parent email and students will also receive a seperate email. Please let us know ASAP if either of you DO NOT receive this email!
First Name
Last Name
Preferred name/nickname (if different than above)
Gender
Address
City
State
Zip
Email
You should get a follow up e-mail. Send us an email if you do not!
Student Cell Phone

Area CodePhone Number
School
Birth date
Class of
Shirt Size
Who told you about TEC? (Name names!)
If applicable:
Church
Youth group you attend
City
Parent or Legal Guardian Information
Parent/Legal Guardian
Parents Email
You should get a follow up email. Let us know if you do not.
Parent Home Phone

Area CodePhone Number
Primary Cell Phone

Area CodePhone Number
Secondary Cell Phone

Area CodePhone Number
Secondary Cell Owner

First NameLast Name
I, recognize that churches and denominations have varied views on who may take communion. I understand that communion will be served during the TEC weekend and give permission to my son/daughter to make the decision whether or not to participate.
Health Information

In the event of a medical EMERGENCY, I hereby grant permission to the physician selected by the TEC leadership to secure proper treatment for my child as named above. I certify that there is no guarantee or assurance has been made as to the result that may be obtained.
Medical Insurance Company
Policy Number
Medical/Allergy/ Dietary/Special Needs
Photo Release
I agree that photos of my child can be taken and used on TEC's social media platforms
Date

MonthDayYear
Date
Please check the Student and Parent email for important information for you both. Let us know if you DO NOT receive it!

We are excited to meet your student!!

Please join us in prayer for the weekend!!
Payment Information

$50 Payment is due before the TEC weekend. Refunds will not be issued after the shirts have been ordered (approx. 3 weeks before the event). (One of the following options must be selected to for the registration process to be completed and your spot reserved)
Payment
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Venmo @CITECFree
Venmo @CITEC today to reserve your spot! Spots are not reserved until payment is made

PayPal (or Credit Card) Registration + Processing and Registration Fee$50.00

Send a Check $50 (No Processing Fee) to Wendy Sims @ 384 223rd Place Pella IA 50219 (separate from parent letter) Checks payable to CITEC. Spots will NOT be held until payment is received. Free

My Church or youth group pays for my registration Free
(Pick one from drop down)

Name of Church or Youth group that pays for your registration

ScholarshipFree

OtherFree

Total $0.00
Parents Electronic Signature.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Central Iowa Teens Encounter Christ

Parent or Legal Guardian Information

Health Information

Photo Release

Payment Information

Payment

Payment Methods