Summer 2025 Template

WHERE: Southwind | Ocklawaha, Florida

WHEN: June 19, 2025 - June 23, 2025

Departure: Thursday, June 19, 2025

Return: Monday, June 23, 2025

COST: $300, a deposit of $25 is required to hold your spot.

Money is due in full and is nonrefundable after June 13, 2025. Please note that the language in your confirmation email only applies to late registrants.

After completing this form, a confirmation will be sent with the information you have entered below. You will also receive an electronic payment link if you want to pay in installments.

Questions and Information

Contact Delores Beamon at:

(904) 536-9435 or [email protected]

Checks and money orders may be mailed to:

PO Box 2173 Jacksonville, FL 32203

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($300.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($300.00)
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

Opt-in to receive email and text message communications.

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

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

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