Summer 2025 Template

WHERE: Young Life's Saranac Village

WHEN: July 27, 2025 - August 01, 2025

Departure: Sunday July 27th, 6:00am

Return: Friday August 1st, 8:00pm

COST: $850, a deposit of $150 is required to hold your spot.

Money is nonrefundable after July 1st.

Reach out to Arianny for fundraising opportunities. We can not wait to have you join us for a week of adventure this summer!

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

Questions and Information

Contact at the Young Life Office at:

Arianny Washington-Slade

P.O. Box 174, Summit NJ 07902

908-917-4314 - [email protected]

Participant Information

Guest Type

Registration Options

Register with an offline payment/$0 deposit ($850.00)
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

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Participant 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

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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