Summer 2025 Template

WHERE: Southwind

WHEN: June 08, 2025 - June 12, 2025

Departure: Sunday, June 8th at 7 AM from the LaGrange Mall.

Return: Thursday, June 12th at 7 PM to the LaGrange Mall.

COST: $ 740, a deposit of $ 150 is required to hold your spot.

Money is nonrefundable after March 1st.

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

Questions and Information

Contact at the Young Life Office at:

[email protected] or 7708651924

Participant Information

Guest Type

Registration Options

Register with a 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 offline payment/$0 deposit ($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.

Southwind

Southwind

Participant Name

Date of Birth

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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

Grade

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian 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

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