Young Life Camp

WHERE: Southwind

WHEN: January 31, 2025 - February 02, 2025

Departure: Friday January 31, 2025 at approx 5:00pm

Return: Sunday February 2, 2025 at approx 3:00pm

COST: $220, a deposit of $100 is required to hold your spot.

Money is nonrefundable after December 1 2024

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:

PO Box 9115 - Fleming island, FL 32006

[email protected]
Kristy Frein: 904-422-3264

Participant Information

Guest Type

Registration Options

Weekend 2025

Southwind WL

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Dietary Restrictions

If yes, Please describe dietary restrictions

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. 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

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

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