Summer 2025 YoungLives Template

WHERE: CLEARWATER COVE

WHEN: June 27, 2025 - July 1, 2025

Departure: Friday, June 27 @ 5:30AM

Return: Tuesday, July 1 @ 9:00PM

COST: $750, a deposit of $100 is required to hold your spot. SCHOLARSHIPS ARE AVAILABLE!

Money is nonrefundable after March 14, 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: (903) 526-0550 or [email protected]

Participant Information

Guest Type

Are you bringing a child?

Registration Options

Register with a deposit or full payment ($750.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/100 deposit ($750.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Date of Birth

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 Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

T-shirt Size

High School Graduation Year

Additional Comments

Parent / Guardian Information

Fill out the following parent/guardian information for the participant you are registering above.

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

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.

Participant Information

Parent / Guardian Information

Billing Information