Altar Boy Camp August 3-8, 2026

Camp St. Basil's - Pigeon Lake, AB
August 3-8, 2026

Please complete one registration per camper
Camper's Name

First NameLast Name
Camper's Birthday
Home Mailing Address (include city/town)
Is the camper baptized?
What parish does the camper attend? Note, please include city/town.
If the camper does not actively belong to a parish, please provide their general faith background if applicable.
How often does your son serve at the Altar at your parish?
Camper T-Shirt Size (Please indicate what size and whether it is a child's size or adult size)

Parent/Guardian Information
Father's or Guardian Name
Mother's or Guardian Name
Phone Number
Alternative Phone Number
Email

Health & Emergency Information

If there is an emergency we will attempt to contact the parent/guardian first. If the parent/guardian is not reachable, then we will contact the 'Emergency Contact' that you provide below. The emergency contact MUST be different than the parent/guardian.
Name of Emergency Contact
Must be willing to pick up camper or arrange for pick up if there is an emergency
Relationship to Camper
Phone Number
Alternative Phone Number
Name of Alternative Emergency Contact
Must be willing to pick up camper or arrange for pick up if there is an emergency
Relationship to Camper
Phone Number
Alternative Phone Number
Camper's Alberta Health Care Number
Family Doctor (name and phone number)
Does your son have any medical or behavioral information we need to know about? This would include autism or physical or mental disabilities.
Does the camper have any prescribed medications that we may need to administer during the program? If so, please explain the instructions. Ensure you and your child see the camp nurse upon arrival with medication and necessary information.
Please note: ALL medication will be kept in the Nurse's office, even if your child is able to administer it themselves.
Dietary Restrictions (if there is a food allergy, please list under medical information)

Other

Permissions and Releases
RELEASE

Being admitted to St. Basil's Altar Boy Camp, I hereby release the Order of St. Basil the Great in Canada, Altar Boy Camp Committee, Camp St. Basil, and the Ukrainian Catholic Eparchy of Edmonton, and its representative(s) from all damages arising from any accident or injury which is caused by, or arises from participation of the applicant hereon, during any program or in any location where the program is being held.
By signing here (electronically), you are agreeing to the release terms above.
DISCIPLINE POLICY

All campers will be subject to camp rules. Abuse of camp rules, bullying and general misbehavior will not be tolerated. Should behavior warrant a problem, the Camp Program Director and Camp Team reserve the right to suspend the camper. Suspension will result in a phone call at the (parent/guardian’s) expense, requesting that you pickup your son immediately, regardless of hour. The parish priest, of the parish that you attend, will also be notified of the problem.
By signing here (electronically), you are stating that you understand this condition.
Boat/Canoe Trips

During the course of the camp, we may make use of boats and/or canoes. To partake in these trips, life jackets are mandatory and will be supplied by the camp.
By signing here, you give permission for your son to partake in boat and/or canoe rides.
Archery

During the course of the camp, we may have an outside vendor provide archery lessons to the boys.
By signing here, you give permission for your son to partake in archery
Media Release

St. Basil's Altar Boy Camp takes photos and videos of children participating in our camps for our records and for possible promotional purposes. However, we will not publish them publicly without your permission.
By signing here (electronically), you are stating that you understand this media release condition
Medical Treatment

Upon acceptance of (Camper's name) as a participant in the 2026 St. Basils Altar Boy Camp program, I accept the above Terms, without condition, and give full consent to the 2026 St. Basil's Altar Boy Camp Program to approve medical treatment and aid on behalf of my child including admission to any hospital or clinic as deemed advisable and this shall serve as sufficient authority to do so.
By signing here (electronically), you are stating that you understand this condition.

Parental Volunteers & Fees
Adults are encouraged to volunteer their time and are welcome to stay for the week with their children as they share their talents with those attending (kitchen, activities, crafts, etc.).

All volunteers and staff will need to provide a police information check with Vulnerable Sector, as well as comply with the Eparchial "Working Together for Safer Environment" policy (which can be viewed at this link https://eeparchy.com/safer/). Accommodation will be provided for those parents wishing to volunteer their time, upon approval of camp director.

Please contact kenstelmach@hotmail.com if you are able to volunteer.
Cost per camper:

$400

***Payment of camp fees in not required at this time. You will be contacted closer to the date of the camp.***
Should be Empty:

Camp St. Basil's - Pigeon Lake, AB

August 3-8, 2026

Parent/Guardian Information

Health & Emergency Information

Permissions and Releases

RELEASE

DISCIPLINE POLICY

Boat/Canoe Trips

Archery

Media Release

Medical Treatment

Parental Volunteers & Fees