6th Grade Only!

6th Grade ONLY!

Summer Adventure Mystery Trip

June 24-26,2024

Participant Information

Guest Type

Registration Options

Summer Camp

6th Grade Only!

Participant Name

Date of Birth

Phone

Phone Type

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 4% 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.

Billing Information

Name

Payment Method

Credit Card
Cash/Check/campership

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox