Summer 2025 Template

WHERE: Wilderness Ranch Creede, CO

WHEN: June 15, 2025 - June 20, 2025

Departure: June 15, 2025

Return: June 20, 2025

COST: $ 999

$100 deposit due at registration with a payment of $400 due by 3/25/24, and balance of $499 due by 6/2/25.

Money is nonrefundable after 3-25-25

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

Questions and Information

For payment and registration questions, please contact Lori Hartline at the Young Life Office at 316-303-1490 or [email protected]..

For ministry related questions please contact Katie Alexander at 316-880-0209 or [email protected]

Participant Information

Registration Options

Student Registration ($999.00)
Leader Registration ($0.00)

Participant Name

Date of Birth

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size (Adult Size)

School

Current Grade for the 2024-2025 School Year

Parent / Guardian Information

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

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

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