Summer 2025 Template

WHERE: Wilderness Ranch - Creede, CO

WHEN: July 20, 2025 - July 27, 2025

Departure: Bus leaves at 10pm on July 20th from the YL building (925 W Wadley)

Return: July 27th - Time TBD (early morning)

COST: $ 599 a deposit of $ 100 is required to hold your spot.

Deposit is non refundable.

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 432-683-5433 or Kady Shive at [email protected]

Participant Information

Guest Type

Summer 2025

Wilderness Ranch

Registration Options

Register with an ONLINE deposit ($100) or full payment ($599.00)
Please select to make a deposit or full payment below.
Register with an OFFLINE payment/$0 deposit ($599.00)
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

Phone Type

Participant Email

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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, updates, and/or promotions. 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