Summer 2025 Template

WHERE: Washington Family Ranch - Creekside

WHEN: July 15, 2025 - July 19, 2025

Departure: Tuesday, 7/15/2025, 7:00 AM

Return: Saturday, 7/19/2025 8:30 PM

COST: $799.00, a deposit of $100.00 is required to hold your spot.

Money is nonrefundable after 4/1/2025.

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 1485, Graham, WA 98338

(253) 632-9864 - [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($700.00)
Please select to make a deposit or full payment below. This will be paid by credit card.

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

Total

$0.00

Coupon Code

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

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