Young Life Camp

WHERE: Lake Champion

WHEN: November 13, 2025 - November 15, 2025

COST: $225, a deposit of $50 is required to hold your spot.

Early Bird Price before 10/15: $175

Money is nonrefundable after 10/31/2026.

Fundraisers and scholarships are available, please talk to a leader for more information!

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:

[email protected] - 484-947-7781

PO Box 4041, Lancaster, PA 17604

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($225.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($225.00)
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

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Anything you'd like us to know?

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% processing fee?

Total

$0.00

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.

Billing Information

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Name

Payment Method

Credit Card
Cash/Check/Offline

Credit CardSecure Payment

Address

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