Summer 2025 Template

SPOTS ARE LIMITED SO SIGN UP NOW!

WHERE: CLEARWATER COVE on Table Rock Lake, Lampe MO

WHEN: July 18 - July 23, 2025

Departure: July 18 around 12pm

Return: July 23 around 4-5pm

COST: $700 (deposit 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 our Young Life Staff at:

[email protected]

816-645-1116

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, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Participant Email

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You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address

Gender

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Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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