Summer 2025 Template

WHERE: Clearwater Cove

WHEN: July 12, 2025 - July 16, 2025

Departure: Saturday, July 12, 2025

Return: Wednesday, July 16th, 2025

COST: $700.00, a deposit of $150 is required to hold your spot.

Money is nonrefundable after June 1st.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Rebekah Lamb at [email protected] or 501-612-9126

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($700.00) [8 remaining]
Please select to make a deposit or full payment below. This will be paid by credit card.

Participant Name

Date of Birth

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Participant Email

Opt-in to receive email and text message communications.

You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox

WYLDLIFE SUMMER CAMP

Participant Information

Parent / Guardian Information

Billing Information