Young Life Camp

WHERE: Woodleaf Towne

WHEN: November 13, 2026 - November 15, 2026

Departure: Friday, 4:30 PM

Return: Sunday, 5:00 PM

COST: $ 175

Money is nonrefundable after 10/31/2026

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

Questions and Information

Contact David Han:

805-708-1416 - [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($175.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($175.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

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

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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.

Billing Information

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Name

Payment Method

Credit Card
Cash/Check/Offline

Credit CardSecure Payment

Address

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