Fall Weekend- 2024- Saranac Village- Hampshire County-MA22

WHERE: Saranac Village, NY

WHEN: SATURDAY, November 09, 2024 - MONDAY, November 11, 2024

Departure: Saturday 11 am

Return: Monday, 5pm

COST: $195, a deposit of $20 is required to hold your spot.

Money is nonrefundable after November 1, 2024

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:

(917) 502-7318

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($195.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($195.00)
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

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

School

High School Graduation Year

Additional Comments

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Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant*

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Total

$0.00

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

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
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Address

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