2021 Lake Champion Wk 3

WHERE: Lake Champion

WHEN: 2021-07-24 - 2021-07-28

(Subject to change)
Departure: Saturday July 24th at 10:00am

Return: Wednesday July 28th 11:30pm

COST: $ 550, a deposit of $100 is required to hold your spot. Final balance due June 1st.

Money is nonrefundable after June 24th.

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:

PO Box 521 - Lewisburg, PA 17837

Abby Dawes Lewisburg Director 610-888-7067 [email protected]

Gabby Salvador Milton Director 717-645-4744 [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit ($550.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($550.00)

Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Ethnicity

T-shirt Size

School

High School Graduation Year

Name

Phone

Phone Type

Address is same as participant

Address

Total

$0.00

Coupon Code

Name

Payment Method

Credit Card

Address