Young Life Camp

WHERE: Southwind, Young Life Camp

WHEN: February 7th- February 9th, 2025

Departure: Friday February 7th meet at 1pm at YL Center / Bus leaves at 2pm

Return: Sunday February 9th, will have students call their ride 30 minutes out.

COST: $199, a deposit of $100 is required to hold your spot.

Deposit is nonrefundable after January 10th and all money is due no later than January 31st.

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:

YL Teen Center | Port Charlotte Town Center Mall | 1441 Tamiami Trail | Port Charlotte, FL

Mailing Address: PO BOX 512529 | Punta Gorda, FL | 33950

O: 941.662.8999 | email: [email protected]

Participant Information

Guest Type

Registration Options

Register and pay in full online ($199.00)
Register with a Deposit ($199.00)
$100 Deposit
Register without a Deposit ($199.00)
If you choose this option, you will be put on the Waitlist and your seat on the bus is not confirmed until the Deposit is made
Leader Registration ($0.00)

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Yes, it's okay to send me text messages including confirmations, changes, and updates. 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% processing fee?

Total

$0.00

By filling out this form, you are opting in to Young Life communications.
In the future, you will be given the opportunity to manage your communication preferences.

Participant Information

Parent / Guardian Information

Billing Information