Summer 2025 Template

WHERE: Crooked Creek

WHEN: June 14-22, 2025

Departure: Saturday, June 14, 2025 at 4:30 pm

Return: Sunday, June 22, 2024 before noon

COST: $699 before 12/31/24, $800 after 12/31/24 a nonrefundable deposit of $100 is required to hold your spot.

Money is nonrefundable after 5/23/25

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:

P.O. Box 584, Bellville, TX 77418

(979)820-6130 - [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit ($699.00)
Pay in Full ($699.00)
Apply for Financial Aid ($0.00)
Pay what you can.

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

School

High School Graduation Year

Additional Comments

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

Coupon Code

Participant Information

Parent / Guardian Information

Billing Information