Summer 2025 Template

WHERE: Wilderness Ranch

2000 Forest Service Road #521

Creede, CO 81130

WHEN: June 15, 2025 - June 20, 2025

Departure: June 14th, 2025

Return: June 21st, 2025

COST: $750 a deposit of $ 150 is required to hold your spot.

Money is nonrefundable after May 24th, 2025.

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:

[email protected]

Area Admin Phone- (830) 357-8439

Participant Information

Guest Type

Summer 2025

Option 1

Registration Options

Register with a deposit or full payment ($750.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an off-line deposit or full payment. ($750.00)

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