Austin Young Life YoungLives Camp June 2024

WHERE: Clearwater Cove, Lampe, Missouri

WHEN: June 24-28, 2024

Departure: Monday, June 24th @ 6 am

Return: Friday, June 28th @ 10 pm

COST: $200

Money is nonrefundable after May 31, 2024.

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

Questions and Information

Contact the Austin Young Life Office at:

P.O. Box 16461, Austin, TX 78761

512.954.1559 or [email protected]

Participant Information

Guest Type

Are you bringing a child?

Registration Options

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

T-shirt Size

High School Graduation Year

Additional Comments

Parent / Guardian Information

Fill out the following parent/guardian information for the participant you are registering above.

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
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Credit Card

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Address

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