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.
Leader Payment ($0.00)

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

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Payment Method

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Cash/Check/Offline

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Address

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