Young Life Camp

REGISTER BY NOVEMBER 19 & RECEIVE A FREE SWEATSHIRT!

WHERE: Timber Wolf Lake

WHEN: December 11-13, 2026

Departure: Friday, December 11 @ 4pm

Return:Sunday, December 13 @ 2pm

COST: $180, a deposit of $75 is required to hold your spot.

Money is nonrefundable after November 19.

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

Questions and Information

Contact Courtney Remy at:

[email protected]

419-306-9181

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($180.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($180.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
Register as Staff/Leader/Adult Guest ($0.00)

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Are there any special circumstances we should be aware of?

Ethnicity

Sweatshirt Size

School

High School Graduation Year

Do you have any dietary restrictions or other concerns we should be aware of?

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. 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

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.

Billing Information

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Name

Payment Method

Credit Card
Cash/Check/Offline

Credit CardSecure Payment

Address

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