Young Life Camp

WHERE: Lake Champion

WHEN: December 04, 2026 - December 06, 2026

Departure: Friday, 12/4 at 5:00 PM

Return: Sunday, 12/6 at 4:00 PM

COST: $295, a deposit of $100 is required to hold your spot. (Fundraisers and scholarships are available, talk to your leader!!)

Money is nonrefundable after November 1, 2026.

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

Questions and Information

Contact Kaitlyn at the Young Life Office:

(516) 637-4048

[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($295.00*) + Fees and Processing
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($295.00*) + Fees and Processing
To register without credit card information, select cash/check/offline. This option will create a payment link for the full balance to be paid by Nov. 20th.

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.

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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