Wyldlife Winter Camp 2025

WHERE: Woodleaf, La Porte Rd., Challenge, CA

WHEN: February 15, 2025 - February 17, 2025

Departure: Saturday, February 15th, 10:00am

Return: Monday, February 17th, 5:00pm

COST: $ 125.00, a deposit of $ 25.00 is required to hold your spot.

Money is nonrefundable after February 1, 2025

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

Questions and Information

Contact Kara Rhynes at [email protected] or (925)-719-5743 with questions.

Young Life Office: 5204 Sturges Ct., Antioch, CA 94531

[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($125.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($125.00)
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

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant*

Address

Would you like to cover the 2.5% processing fee?

Total

$0.00

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In the future, you will be given the opportunity to manage your communication preferences.

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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