YoungLives Summer Camp 2024

WHERE: Lost Canyon in Williams, AZ

WHEN: June 24-28, 2024

Departure: Monday, June 24th - Location and Time TBA

Return: Friday, June 28th

COST: $100 for mom and baby

Get a Discount!! $50 off when you complete your online registration and a health form before March 1st.

Health Form: Every camper must have a completed health form. Complete a paper version or click here: https://apps.younglife.org/HCForm/Account/Login.aspx

Questions and Information

Contact Rubi Martinez
623-300-4917
or email [email protected]

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

Participant Information

Guest Type

Are you bringing a child?

Registration Options

Register with an online deposit ($100.00)
Please select to make a deposit or full payment below.
Register with a cash deposit ($100.00)
Choose Cash/Check in the Billing section below. Cash deposits can be given to a Young Life staff person.

When you complete this registration and a health form before March 1st, $50 will be refunded to you or subtracted from your final balance.

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

T-shirt Size

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

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

Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox