Young Life Camp

WHERE: Southwind

WHEN: October 23, 2026 - October 25, 2026

Departure: TBD

Return: TBD

COST: $150

Money is nonrefundable after October 1,2026

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

Questions and Information

Contact FL25 Area Director

Thomas Quinn

Phone: 603-285-5720

Email: [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($150.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
pay with check or offline ($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

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

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.

Billing Information

Secure checkout PCI compliant

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit CardSecure Payment

Address

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