Teen Encounter Registration 2019

The next Teen Encounter Weekend will be May 31 – June 2 at Camp Kolbe in Bayside PEI.

To apply for Teen Encounter you must be at least sixteen (16) years old.

A fee of $80 is suggested to cover the cost of food, accommodations, etc. Those unable to afford this fee will be asked only to pay what they can. More details regarding this fee, dates and times will be included in a follow-up E-mail to those applicants whom we are able to accept for the upcoming weekend.

Please note: after completing this form we will confirm your application by calling your parents or by E-mail.

{Please e-mail Amy to let her know you have registered. She’ll get back to you soon. Amy: amygallnt@hotmail.com }

Your name

Your email

Your age

Date of birth



Postal Code

Parent's/Guardian's phone number



Father's Name

Father's email

Mother's Name

Mother's email

Guardian's Name

Guardian's email

State of Health/Physical Disabilities/Special Needs/or Dietary Restrictions/Allergies

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