mandrivnyy tabir 2026 registration

This field is for validation purposes and should be left unchanged.

Гартуйсь!

If you have any questions regarding the Algonquin or Rockies Mandrivnyy Tabory, please email: [email protected]

UYA Information*

Only active CYM members can attend this camp. Your registration will be verified with the branch you indicate.

Branch - ocepeдoк

Please indicate the number of campers you are registering*

Did your family immigrate to Canada under the CUAET(Canada Ukrainian Authorization for Emergency Travel) program?*

CYM Members that arrived under CUAET may be eligible for a subsidy. CUAET status will be verified before registration is finalized.

Yes

No

PARENT/GUARDIAN INFORMATION

Primary Address*

Current Home Address

Street Address Address Line 2 City Province Postal Code Country

Home Phone/Primary Contact*

Parent/Guardian #1*

First Name Last Name

Email Parent #1*

Phone Number Parent #1*

Parent/Guardian #2

First Name Last Name

Email Parent #2

Phone Number Parent #2

Child Custody Arrangements*

If there are custody or access considerations, please provide details. This information is private and confidential and is collected to ensure the safety of your child.

YES

NO

If yes, please provide details:

EMERGENCY CONTACT

In Case of Emergency Contact*

First Name Last Name

Emergency Contact - Email*

Emergency Contact Cell Phone*

Alternative Phone

Work or Home number

Relationship to Attendee*

Emergency Contact Address

Street Address City State / Province / Region ZIP / Postal Code

RISK AND RELEASE FORMS

ASSUMPTION OF RISK AND RELEASE*

While every reasonable precaution shall be taken to ensure the safety and protection of your child, the UKRAINIAN YOUTH ASSOCIATION OF CANADA (CYM) (hereinafter called “UYA”), its Directors, Officers, Staff Members, Employees, Volunteers and all facilities used by the UYA to deliver its programs, are hereby released from all and any liability, in the event of loss of personal property or any accident or misfortune that may occur to your child.

I agree to the above.

CODE OF CONDUCT*

It is understood that should your child in any way endanger the safety and/or well-being of another individual or continually disrupt activities while attending a UYA Camp, said child will be immediately suspended from further participation in the camp program and parents will be required to take him/her home. Furthermore, fees paid will not be reimbursed.

I agree to the above.

AUTHORIZATION - EXCURSIONS*

I hereby give permission for my son/daughter/attendee to participate in field trips planned during all UYA outdoor adventure (hiking/canoeing) camps wherever they may be organized.

I agree to the above.

LIABILITY*

I, the undersigned parent/ guardian, assume full responsibility for payment of all camp fees and medical expenses not covered by insurance. I understand that I am liable for all costs related to, but not limited to damages caused by my child or children, or for additional costs incurred by the UYA as a result of my child’s or children’s actions, be they intentional or unintentional (tents, camping gear, canoes, etc.) outside of normal wear and tear. The safety of each individual is of the utmost importance to the UYA. In order to ensure the safety and well-being of all participants, the UYA reserves the right to alter the program at any time without compensation to participants, parents or guardians. Furthermore, my child has been made aware of rules and regulations as found in the Handbook for parents and campers, and has agreed to abide by them.

I have carefully read, understand and freely and voluntarily accept Assumption of Risk, Code of Conduct, Authorization and Liability information outlined above.

CONSENT TO MEDICAL ATTENTION*

I authorize the leaders in charge of camp activities, excursions, and events to arrange for medical or surgical treatment for my child, as deemed necessary, in the event that I am unable to provide consent and it is impracticable to contact the listed emergency contact. I declare that the information provided on this form is complete and accurate. I understand that it is my responsibility to notify the Camp Administration of any changes to this information. By signing this form, I grant the Ukrainian Youth Association (UYA), its Directors, Officers, volunteers, and authorized representatives permission to arrange any special services or medical interventions required in the best interest of my child’s health and well-being. I further agree to assume financial responsibility for any such services or treatments provided.

I authorise the use of medical attention.

DECLARATIONS

Camp Deposit*

I agree to pay all fees and charges for this Camp by the due date or as otherwise agreed to in writing by the Mandrivnyy Tabir Taborova Komisiya.

I acknowledge that a $500 deposit is required at the time of registration submission and understand that this deposit will be fully refunded if the Camp is cancelled.

Camp Payment*

I agree to pay all fees and charges for this Camp by the due date or as otherwise agreed to in writing by the Mandrivnyy Tabir Taborova Komisiya.

I agree to pay all fees and charges for this camp by the due date, or as otherwise agreed to in writing by the Camp Organizing Committee.

Data Collection:*

The information collected is used for the purpose of planning and organizing Camp activities. It will be disclosed only to individuals responsible for conducting and administering Camp programs. All information will be stored securely and disposed of in accordance with UYA data retention policies.

I approve my information being collected and used for these purposes.

Use of Image & Media Release Permission

I understand that photographs, video, and audio recordings may be taken during UYA camp activities. I hereby grant the Ukrainian Youth Association (UYA) permission to use and reproduce images and recordings in which my child appears for UYA’s promotional and communications purposes. These materials may be used in, but are not limited to, UYA publications, websites, social media, newsletters, brochures, annual reports, and other authorized promotional materials, without acknowledgment, remuneration, or compensation.

I give permission

Electronic Signature*

By entering your name and the date below, you acknowledge that this form constitutes a legal agreement and that you have read, understood, and accepted all declarations and policies above. All parties over the age of 18 must fill out this section.

First Name

Last Name

Підпис*

Date*

REGISTRATION CONFIRMATION MUST BE COMPLETED

Registration Confirmation*

Please retype your email to receive confirmation that you have completed the ONLINE REGISTRATION.

Enter Email Confirm Email

mandrivnyy tabir 2026 registration

Мандрівний Табір 2026

Гартуйсь!

PARENT/GUARDIAN INFORMATION

CAMPER #1 INFORMATION

MEDICAL INFORMATION CAMPER #1

CAMPER #1 IMMUNIZATION & PHOTO FILE UPLOAD

SUPPLEMENTAL HEALTH INFORMATION CAMPER #1

FAMILY PHYSICIAN INFORMATION

CAMPER #2 INFORMATION

CAMPER #2 MEDICAL INFORMATION

CAMPER #2 IMMUNIZATION FILE UPLOAD

SUPPLEMENTAL HEALTH INFORMATION CAMPER #2

Family Physician Information

CAMPER #3 INFORMATION

Camper #3 MEDICAL INFORMATION

IMMUNIZATION & PHOTO FILE UPLOAD

SUPPLEMENTAL HEALTH INFORMATION

FAMILY PHYSICIAN

EMERGENCY CONTACT

RISK AND RELEASE FORMS

DECLARATIONS

REGISTRATION CONFIRMATION MUST BE COMPLETED