Young Life Camp

WHERE: Washington Family Ranch - CANYON

WHEN: November 6 - 8, 2026

Departure: Friday, 11/6 at 5:30pm - meet at the Walmart parking lot in Redmond

Return: Sunday, 11/8 at approximately 1:30pm - Walmart parking lot in Redmond

COST: $150, a deposit of $25 is required to hold your spot. Leaders attend free.

Money is nonrefundable after Friday, October 30th.

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

Questions and Information

Contact Jeshua Wagner: [email protected], (458) 600-2835

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($150.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($150.00)
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

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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