Young Life Camp

WHERE: Lake Champion Mohican Lake Rd.Glen Spey, NY 12737

A jam packed weekend experience starting Friday night and ending Sunday afternoon. Resort like cabins, amazing food, and fun activities!

WHEN: November 22, 2024 - November 24, 2024

Departure: Friday, 5:30PM Return: Sunday, 2PM

COST: $165, a deposit of $50 is required to hold your spot. $65 off for first timers! Please reach out if you need help with the cost. We want to help you attend the weekend!

Money is nonrefundable after 11/17

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

Questions and Information

Jenny Reitz: [email protected]

Participant Information

Guest Type

Registration Options

Register with deposit and full payment ($165.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
$65 off- First Timer Discount ($100.00)
Receive $65 off

Participant Name

Date of Birth

Phone

Phone Type

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

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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: A required section for all registrations that have a cost.

Any offline payments will need to be added manually by the area in as explained in this section of the Learning Guide.

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
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Address

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