Summer 2025 Template

WHERE: Washington Family Ranch - Canyon

WHEN: July 24, 2025 - July 29, 2025

Departure: Thursday, July 24th @ 7:30am (arrive at bus by 7:00am)

Return: Tuesday, July 29th around 6pm

COST: $740, a non-refundable deposit of $100 is required to hold your spot.

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

Questions and Information

Contact at the Jake Michalovich at:

(760)828-2205 or [email protected]

Participant Information

Guest Type

Registration Options

Register with an online deposit or full payment ($740.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an in-person deposit (cash/check made out to YoungLife OR268) ($740.00)
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

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Participant Address

Gender

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Additional Comment

Ethnicity

T-shirt Size (Adult Sizes)

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