WHO: Current Juniors and Seniors

WHAT:

WHERE: Wilderness Ranch, Creede Colorado

WHEN: July 21-27, 2024

Departure: July 21st, 6:00 am Aledo High School parking lot

Return: July 27th, 10:00 pm Aledo High School parking lot

TOTAL COST: $ 650.00.

DEPOSIT: $50.00 (cash, check, card payment)

AT REGISTRATION : PAYMENT #1- $50.00

FEB 1, 2024: PAYMENT #2 -$300.00

APRIL 1, 2024: PAYMENT #3- $300.00

ALL Payments to Young Life Camp are non-refundable. $50.00 is due at time of registration to hold your spot.

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

Questions and Information

Contact the Young Life Office at:

email: [email protected]

phone: 817-584-2135

M-F: 8-5

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($650.00) [8 remaining]
Please select to make a deposit or full payment below.
Leader Registration ($0.00)

Participant Name

Date of Birth

Phone

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Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Name

Phone

Phone Type

Address is same as participant

Address

*Optional Additional Parent Information

Name

Phone Number

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.

Relation to Parent

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

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