Teen Encounter Registration 2018

The next Teen Encounter Weekend will be at Camp Kolbe in Bayside PEI (www.hfmpei.com) May 18 to 20, 2018.

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.

{In case of any problems or questions with the registration process please e-mail Amy: amymaccormack88@hotmail.com }

 

Your name

Your email

Your age

Date of birth

Gender

Address

Postal Code

Parent's/Guardian's phone number

Parish

Pastor

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

Human check. Type what you see in the image into the box below.
captcha