Summer 2025 Template

ELMHURST YOUNG LIFE SUMMER CAMP

2025 Clearwater Cove

July 18-23

WHERE: Clearwater Cove -- 827 Majestic View Lane, Lampe, MO 65681

WHEN: July 18, 2025 - July 23, 2025

Departure: Morning of Friday July 18

Return: Evening of Wednesday July 23

COST: $1,175, a deposit of $250 is required to hold your spot.

Money is nonrefundable after APRIL 1st.

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

Questions and Information

Contact Elli Halloran at [email protected] or 952-460-0287

Participant Information

Guest Type*

Registration Options*

Register with a deposit or full payment ($1,175.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($1,175.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
Register for Scholarship ($250.00)
Leader ($0.00)

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. Reply STOP to cancel. 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*

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

Billing Information

Email*

Name*

Payment Method

Credit Card
Cash/Check/Offline

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

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