Young Life Camp

WHERE: Woodleaf - 11359 Quincy La Porte Rd. Challenge, CA 95925

WHEN: June 18 - June 23, 2024

Departure: June 18, 2024 Time: TBA

Return: June 23, 2024 Time: TBA

COST: $830, a deposit of $50 is required to hold your spot.

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

Questions and Information

Contact the Young Life Office at:

P.O.Box 3865, Salem, OR 97302

Participant Information

Guest Type

Camp 2024

Registration Options

Participant Name

Date of Birth

Phone

Phone Type

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Participant Address

Gender

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Name

Payment Method

Credit Card

Address