Summer 2025 Template

WHERE: Carolina Point

WHEN: June 07, 2025 - June 11, 2025

Departure: June 7, 11:30 a.m.

Return: June 11, 3:00 p.m.

COST: $TBD, a deposit of $50 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:

PO Box 300, Blacksburg 24063

(540) 418-6287 - [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($650.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register with an offline payment or without a deposit ($650.00)
Please select to register without a deposit or to make an offline payment by sending cash/check to the YL office directly.

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

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