Young Life Camp

WHERE: Crooked Creek Ranch, Fraser, CO

WHEN: December 6, 2024 - December 8, 2024

Departure: Meet at Timberline Church south parking lot at 4:30 pm on December 6th for check in

Return: Timberline Church south parking lot between 3-4:00 pm on December 8th

COST: $290, a deposit of $100 is required to hold your spot.

Deposit is nonrefundable after November 29th.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact the Young Life Office at:

P.O. Box 2396, Fort Collins, CO, 80522

Emily: [email protected] - (303) 330-7734

Andy: [email protected] - (719) 321-2486

Participant Information

Guest Type

Registration Options

Camper Register with a deposit ($100) or full payment ($290.00)
Please select to make a deposit or full payment. If deposit is made, remaining balance will be automatically charged to card provided on Dec. 6
Camper Registration without a deposit ($0) or ($290.00)
If you select pay by cash or check, a payment link will not be sent to you.
Leader registration with a deposit ($100) or full payment ($290.00)
Please select to make a deposit or full payment. If deposit is made, remaining balance will be automatically charged to card provided on Dec.6
Leader registration without deposit ($0) or ($290.00)
If you select pay by cash or check, a payment link will not be sent to you.

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

Disability

How can we best meet your needs?

Does the Participant take regular medications?

Describe the Participant's medications for the weekend below:

Dietary Restrictions

T-shirt Size

School

Attending Club at

High School Graduation Year

Have you been to camp before?

How many times have you been to camp/which ones?

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% processing fee?

Total

$0.00

Coupon Code

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.

Participant Information

Parent / Guardian Information

Billing Information