Summer 2025 Template

Tri-County Young Life

WYLDLIFE SUMMER CAMP

2025 Lake Champion

WHERE: Lake Champion,

WHEN: July 22, 2025 - July 26, 2025

Departure: July 22nd, 9am

Return: July 26th, 2:30pm

COST: $695, a deposit of $150 is required to hold your spot.

Money is nonrefundable after July 1st.

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*

Camper
Leader

Registration Options*

Register with a deposit ($150) or full payment ($695.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment ($695.00)
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

Email*

Name*

Payment Method

Credit Card
Cash/Check/Offline

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

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