2024 Mat-Su YoungLives Camp Registration

I want to go to camp!

Guest Type

Are you bringing a child?

I will be pregnant at camp

Payment Options

I will complete 5 volunteer hours ($0.00)
I will pay ($100.00)
instead of volunteer hours I will pay for my camp spot
I will contribute 5 hrs towards camp fundraising events ($0.00)
leaders must attend all camp training and camper preperation meetings

Participant Name

Date of Birth

Age @ time of camp 6/29

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

Education

I have a government picture ID

I have an Alaska Air Mileage Plan #

Mileage Plan #

T-shirt Size

Shoe Size (half size round up)

Favorite Color

Favorite Candy/Snack

Additional Comments

Parent / Guardian Information (required if under 18)

Fill out the following parent/guardian information for the participant you are registering above.

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*

Parent/Guardian Address

Emergency Contact

Name

Phone Number

Relationship

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.

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

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