Summer 2025 Template

WHERE: Castaway Club

WHEN: July 18, 2025 - July 23, 2025

COST: $ 950, a deposit of $ 100 is required to hold your spot.

Money is nonrefundable after March 25, 2025.

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

Questions and Information

For registration and payment questions please contact Lori Hartline at the Young Life Office at [email protected] or 316-303-1490.

For ministry or other camp related questions please contact Clark Schoonover at [email protected] or 316-554-6484.

Participant Information

Registration Options

High School Student Registration ($950.00)
Adult Leader Registration ($0.00)

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

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