Teen Challenge Seminar Registration

Registration Deadline: October 5, 2021

Please fill in the form below. Our office will send you a confirmation email. If you have any trouble with the application process or if you have any questions, please call us at (864) 678-4900. Thank you.

In addition to filling out this form, each applicant must download the waiver (see below) and have it signed by their parent/guardian. Please bring your waiver with you in order to participate.

Click here to download the waiver form.

Full Name *

Teen's Phone Number

Teen's Email *

Date of Birth *

Month

Day

Year

Gender *

Male

Female

Parent's Name *

Address *

City *

State *

ZIP *

Parent's Phone Number *

Parent's Email *

What church do you attend? *

Please select the meals that you plan to attend. *

Lunch

None

Have you attended a retreat or conference at EI before? *

Yes

Special Requests

Please list any allergies

I understand that I must bring a signed waiver form. *

Yes

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Registration Deadline: October 5, 2021

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