Summer 2025 Template

WHERE: Southwind a Young Life Camp in Ocklawaha, FL

WHEN: July 10, 2025 - July 14, 2025

Departure: Thursday, July 10th at 5:30AM

Return: Monday, July 14th at 7PM

COST: $785 , a nonrefundable deposit of $425 is required to hold your spot.

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:

1000 Hillcrest Road Suite 120 Mobile, AL 36695

Macy Schultz: 251-510-1112 or [email protected]

Mary Howell Windham: 228-217-6432 or [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit payment ($425.00)
Please select to make a deposit payment below. This will be paid by credit card.
Register with a full payment ($785.00)
Please select to make a full payment below. This will be paid by credit card.

Participant Name

Date of Birth

Participant 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

Participant Email

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

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

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