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, and updates. 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

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% credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information