2024 Lake Champion Wk 1

WHERE: Lake Champion Young Life Camp

247 Mohican Lake Rd.

Glen Spey, NY 12737

WHEN: June 5th - June 10th

COST:

Before January 1st: $495

After January 1st:

A deposit of $100 is required to hold your spot.

Money is nonrefundable after June 1

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

Questions and Information:

Stow/Kent/Tallmadge: Mark Eger | (937) 232-3013 | [email protected]

Hudson: Megan | (614) 949-8859 | [email protected]

Contact at the Young Life Office at:

P.O. Box 1015

Hudson, OH 44236

Participant Information

Guest Type

Registration Options

Register as a first-timer with a deposit (or full payment) ($595.00)
Please select to make a deposit or full payment below.
Register as a second-timer with a deposit (or full payment) ($695.00)
Please select to make a deposit or full payment below.
Register as first-timer without a deposit ($595.00)
Register as second-timer without a deposit ($695.00)
Register as a Leader ($642.00)

Participant Name

Date of Birth

Phone

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Participant Address

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Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Name

Phone

Phone Type

Address is same as participant

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Total

$0.00