Summer 2025 Template

WHERE: Southwind - A Young Life Camp, Ocklawaha, FL

WHEN: May 24, 2025 - May 28, 2025

Departure: Saturday, May 25th 5:30 AM

We will meet at the Young Life office (6110 Watermelon Rd) at 5:00 AM on Saturday.

Return: Wednesday, May 28th 7:00 PM

Pick-up will be at the Young Life office on Wednesday evening.

COST: $850, a deposit of $200 is required to hold your spot.

Money is nonrefundable after May 1.

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

Questions and Information

Contact the Young Life Office at:

6110 Watermelon Dr - Northport, AL 35473

Or Jake Maddox at (334) 672-3024 - [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($850.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($0.00)
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

Phone Type

Parent Email

Camper Phone Number (If Applicable)

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.

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

Additional Comment

Gender

Male
Female

Ethnicity

T-shirt Size (Adult Sizes)

School

If school selected is other, where?

Grade

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