Cougars WyldLife Weekend Camp

Join us for a fun weekend at Lost Canyon in Williams, Arizona!

December 11-13, 2026

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

A health form will be sent to the parent/guardian email submitted below - please complete this before leaving for camp.

Click here for a packing list.

Questions?

Hector Saucedo @ 480-410-9138

or email us at [email protected]

Participant Information

Guest Type

Camp Trip

Phoenix Metro Weekend Camp

Registration Options

Register with a deposit or full payment ($250.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($250.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

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Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% processing fee?

Total

$0.00

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.

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Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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