2024 Lake Champion Wk 3

WHERE: Lake Champion

WHEN: 2024-06-17 - 2024-06-22

Departure: {Week Day}, {Enter DATE/TIME} / Late bus {Enter TIME}

Return: {Week Day}, {Enter DATE/TIME}

COST: $699, a deposit of $100 is required to hold your spot.

Money is nonrefundable after {Enter DATE}.

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

Questions and Information

Contact at the Young Life Office at:

11363 Eagle Run - LINCOLN, DE 19960-4087

Participant Information

Guest Type

Registration Options

Participant Name

Date of Birth

Phone

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Participant Address

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Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Name

Phone

Phone Type

Address is same as participant

Address

Total

$0.00

Name

Payment Method

Credit Card

Address