Summer 2025 Template

WHERE: Lake Champion in Glen Spey, New York

WHEN: June 15, 2025 - June 20, 2025

Departure: Sunday, June 15th, morning departure (exact time and location TBD)

Return: Friday, June 20th, afternoon arrival (exact time and location TBD)

COST: $ 895, a deposit of $ 100 is required to hold your spot. Transportation is included.

Money is nonrefundable after March 31, 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:

[email protected]

Delco Young Life

P.O. Box 1650

Brookhaven, PA 19015

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($895.00)
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

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

Total

$0.00

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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