Summer 2025 Template

WHERE: Lost Canyon (1450 S Perkinsville Rd, Williams, AZ 86046)

WHEN: July 23, 2025 - July 28, 2025

Departure: Wednesday, July 23rd (Early morning/Details TBD)

Return: Monday, July 28th (Late evening/ Details TBD)

COST: $700, a deposit of $ 100 is required to hold your spot.

Money is nonrefundable after July 1st.

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

Questions and Information

Contact Mackenzie Rottler at

818.915.3205 or [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.
Register with an offline payment/$0 deposit ($700.00)
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

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, and updates. 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.

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Dietary Restrictions

If yes, then select

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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

Participant Information

Parent / Guardian Information

Billing Information