Summer 2025 Template

WHERE: Windy Gap- Weaverville, NC

WHEN: June 01, - June 07, 2025

Departure: Sunday, June 1 Time TBD

Return: Saturday, June 7 Time TBD

COST: $ 900

A deposit of $ 100 is required to hold your spot.

Money is nonrefundable after May 1, 2025. Contact your local Younglife Area Director for Camp Scholarship information. After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information:

Dawn Hrynkiw

Halifax FL Younglife

561-714-7846

[email protected]

Participant Information

Guest Type

Registration Options

Register with a DEPOSIT ($100) or FULL PAYMENT ($900.00)
Please select to make a deposit or full payment below. This will be paid by credit card.

Participant Name

Date of Birth

Participant Phone

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Phone Type

Participant Email

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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 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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