Summer 2025 Template

WHERE: Lake Champion | Glen Spey, NY

WHEN: July 15, 2025 - July 20, 2025

Departure: Tuesday, July 15th | Pease Park & Ride, 185 Grafton Rd. Portsmouth, NH | Time TBD

Return: Sunday, July 20th | Pease Park & Ride, 185 Grafton Rd. Portsmouth, NH | Time TBD

COST: $ 750, a deposit of $100 is required to hold your spot.

Money is nonrefundable after April 1st, 2025

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

Questions and Information

Contact:

Andrew Vogan

Young Life Seacoast Area Director

[email protected] | 603.770.0095

Participant Information

Guest Type

Camper
Leader

Registration Options

Register with a deposit or full payment ($750.00)
Please select to make a deposit or full payment below. This will be paid by credit card.

Participant Name

Date of Birth

Participant Phone

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Phone Type

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You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address

Gender

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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

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information