2024 Lake Champion Wk 11 - NJ114

Somerset Valley

Wyldlife SUMMER CAMP

2024 Lake Champion Wk 11 - NJ114

WHERE: Lake Champion

WHEN: 2024-07-30 - 2024-08-03

Departure: July 30th, Time TBD

Return: August 3rd, Time TBD

COST: $600.00, a deposit of $75.00 is required to hold your spot.

The deposit is nonrefundable. The remaining balance is nonrefundable after March 1st

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

Questions and Information

Contact the Young Life Office at:

Amanda Akselsen

[email protected], (908) 300-4398

Participant Information

Summer 24*

Lake Champion

Guest Type*

Registration Options*

Register with a deposit or full payment ($600.00)
Please select to make a deposit or full payment below.
Register without a deposit ($600.00)
Leader ($0.00)
Leader spots only

Participant Name*

Date of Birth*

Phone*

Phone Type*

Email*

Opt-in to receive email and text message communications.

You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address*

Gender*

Male
Female

Additional Comment

Ethnicity*

T-shirt Size

School

Grade entering Fall 2024*

Who invited you to come?*

Additional Comments

Parent / Guardian Information

Name*

Phone*

Phone Type*

Email*

Address is same as participant

Address*

Total

$0.00

Billing Information

Name*

Payment Method

Credit Card
Cash/Check

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

RegFox Event Registration Software

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