2024 LoneHollow Ranch Wk 6

WHERE: LoneHollow Ranch

WHEN: 2024-07-21 - 2024-07-25

Departure: Sunday, July 21st

Return: Thursday, July 25th

COST: $75, a deposit of $20 is required to hold your spot.

Money is nonrefundable after July 18th.

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

Questions and Information

Contact Tash at the Young Life Office at:

Tash Horner

[email protected]

325-480-4488

Participant Information

Guest Type

Are you bringing a child?

Registration Options

Register with a deposit or full payment ($75.00)
Please select to make a deposit or full payment below.
Leader ($0.00)

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

T-shirt Size

High School Graduation Year

Additional Comments

Parent / Guardian Information

Fill out the following parent/guardian information for the participant you are registering above.

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

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Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

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Address

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