Green Grove Teen Camp 2017 Registration
Dates: August 21 - 27th, 2017

Note: Your information will be collected here, but payment must be made shortly after your submission. See for more information

*Applicants/parents may be asked to sign official waiver upon request

Full Name of Registrant *
Your answer
Address *
Include Postal Code
Your answer
Birthday *
Day, Month, Year
Your answer
Email Address of Applicant *
Your answer
Entering Grade ___ in September 2017 *
Name(s) of Parent/Guardian *
Your answer
Parent/Guardian email address *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Is the participant baptized in the Ukrainian Orthodox Church of Canada?
Are the parents members of the Ukrainian Orthodox Church of Canada?
If Yes, To which parish do you belong?
Your answer
Rooming Buddy Preferences (If Any)
Up to 2 choices max
Your answer
T Shirt Size *
*All sizes are adult
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