I want to go to camp!!

Guest Type

Are you bringing a child?

I will be pregnant at Camp

Payment Options

I will complete 5 volunteer hours ($0.00)
I will pay ($100.00)
Instead of volunteer hours I will pay for my camp spot. This is a non-refundable payment.
I will contribute 5 hrs towards camp fundraising. ($0.00)

Participant Name

Date of Birth

Age at time of camp 6/28

Phone

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Phone Type

Participant Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

Education

T-shirt Size

Favorite Color

Favorite Candy Snack

Onesie Size (estimated for at the time of camp)

Additional Comments

Parent / Guardian Information

Fill out the following parent/guardian information for the participant you are registering above.

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

Emergency Contact

Name

Phone Number

Relationship

By filling out this form, you are opting in to Young Life communications.
In the future, you will be given the opportunity to manage your communication preferences.

I want to go to camp!!

Parent / Guardian Information

Emergency Contact

Billing Information