Banff Youth Retreat 2019 Registration

Youth Summit 2019 - Registration form

* Indicates required field

Name: *

Address *

Email *

Phone Number *

Age *

Children ages 10-12 must bring a parental chaperone. Chaperone is responsible for his/her own expenses.

Emergency Contact 1 (Name and Phone) *

Emergency Contact 2 (Name and Phone) *

Allergies/Dietary requirements (Please be detailed) *

Parish priest *

Parish *

Payable by Check made to "Ukrainian Orthodox Church of Canada - Western Eparchy".
Parishes are highly encouraged to cover the cost of their youth to attend.
Please contact Fr. Tim with any questions.

Waiver Info
Please sign the waiver (link below) and upload it to this form or email it to Fr. Tim.
A signed waiver can also be brought to us the first day of the event.

Waiver Upload *

Max file size: 20MB

Submit

Waiver (Coming Soon)

Itinerary (Coming Soon)

Western Eparchy Youth Summit 2019 Registration

Youth Summit 2019 - Registration form