Summer 2025 Template

WHERE: Lost Canyon

WHEN: July 12-16, 2025

Departure: Saturday, July 12th, 6:30 am, Bridgeport Elementary

Return: Wednesday, July 16th, 10:00 pm, Bridgeport Elementary

COST: $699, a deposit of $100 is required to hold your spot. Complete your online health form by February 28, 2025 and receive $100 off of your camp trip!

Camp price includes all camp lodging, transportation, meals, and activities. Money is nonrefundable after July 1, 2025.

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:

Young Life Santa Clarita Valley, 27593 Weston Drive, Valencia, CA 91354

[email protected]

661-406-5555

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($699.00)
Please select to make a $100 deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($699.00)
To register without credit card information, select cash/check/offline. In order to secure your spot please make sure to pay your $100 deposit by cash or check payable to "Young Life." You can mail this deposit into the YL Office or give it to your Wyld Life leader.

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.

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

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