2024 Lost Canyon Wk 9

WHERE: Lost Canyon

WHEN: July 24th - July 29th, 2024

Departure: Wednesday, July 24th - 6:00am

Return: Monday, July 29th - Approx. 10:00pm

COST: $700 ($500 if registered & health form are completed before 3/1!)

$50 Deposit

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:

Nate Lorenzini 925-918-2861

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. Your card will not be immediately charged.
Register without a deposit ($700.00)
Register w/Payment Plan (ONLY if registered by 2/29) ($500.00)
Register by FEBRUARY 29th, and pay 5 payments of $100 - Your card on file will be automatically charged the 1st of each month
March 1st
April 1st
May 1st
June 1st
July 1st

Coupon Code

Participant Name

Date of Birth

Phone

Phone Type

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

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

Coupon Code

Name

Payment Method

Credit Card

Address