Summer 2025 Template

WHERE: Clearwater Cove Young Life Camp in Lampe, MO

WHEN: June 15, 2025 - June 19, 2025

Departure: June 15th early morning

Return: June 19th late evening

COST: $575 , a deposit of $50 is required to hold your spot.

Money is nonrefundable after March 31st, 2025

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

View a video of Clearwater Cove here: https://clearwatercove.younglife.org/at-camp/

Questions and Information

Contact Emily Schlacks at

[email protected] | 630-487-7548

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($575.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($575.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

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. 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

Current Grade

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