Summer 2025 Template

WHERE: LoneHollow Ranch in Utopia, TX

WHEN: July 11-15, 2025

Departure: Morning of July 11

Return: Evening of July 15

COST: $750, $100 deposit (goes toward the total cost)

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

Questions and Information

Contact at the Young Life Office at:

[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($750.00)
Register today with $100 deposit and make payments towards your remaining balance before the trip.
Register with an offline payment ($750.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed. Your spot is not saved until we have cash/check in hand.

Participant Name

Date of Birth

Participant Phone

Phone Type

Participant Email

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

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% credit card processing fee?

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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