Summer 2025 Template

Hampshire County

YOUNG LIFE SUMMER CAMP

2025 Saranac Village Wk 4 - MA22

WHERE: YL Saranac Village, Saranac Lake, NY

WHEN: July 09, 2025 - July 14, 2025

Departure: Wednesday, July 9 Time TBD

Return: Monday, July 14 Late afternoon

COST: $875, a deposit of $50 is required to hold your spot.

Money is nonrefundable after April 1, 2025

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Lauren at the Young Life Office at:

(978)502-7318 or [email protected]

Participant Information

Guest Type*

Summer 2025*

Saranac week 4

Registration Options*

Register with a deposit or full payment ($875.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment deposit or full amount ($875.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

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. Reply STOP to cancel. 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*

Parent / Guardian Information

Parent/Guardian Name*

Parent/Guardian Phone*

Phone Type*

Parent/Guardian Email*

Address is same as participant

Address*

I would like to donate to the scholarship fund to send other kids to camp

Add 3% to my donation to cover credit card fees.

Total

$0.00

I need a scholarship. The amount I expect to be able to pay is:*

I would like to Fundraise for this trip Please indicate what you are willing to do like yardwork, housework, collecting cans or other work, wingathon or other*

Billing Information

Email*

Name*

Payment Method

Credit Card
Cash/Check/Offline

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

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