2024 Clearwater Cove Wk 7

WHERE: Clearwater Cove

WHEN: 2024-06-29 - 2024-07-03

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

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

COST: $875.00, a deposit of $150.00 is required to hold your spot.

Money is nonrefundable after {Enter DATE}.

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

Questions and Information

Contact at the Young Life Office at:

136 S 9th St STE 28, Noblesville, IN 46060

[email protected](765) 438-1553

Participant Information

Summer 24

Clearwater Cove

Guest Type

Registration Options

Register with a deposit or full payment ($875.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($875.00)

Participant Name

Date of Birth

Phone

Phone Type

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

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox