Summer 2025 Template

WHERE: Wilderness Ranch

2000 Forest Service Rd. #521

Creede, CO 81130

WHEN: June 20th - June 28th

Departure: The night of Friday, June 20th

Return: The morning of Saturday, June 28th

COST: $1,200 with a $100 non-refundable deposit upon registration to hold your spot.

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

Questions and Information

Contact Northwest Austin Young Life

[email protected]

Participant Information

Registration Options

Wilderness Ranch Summer 2025

Guest Type

Registration Options

Register with a deposit ($1,200.00)
Register with a $100 deposit and make payments towards the final balance before the trip.
Register with an offline payment ($1,200.00)
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

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

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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

Participant Information

Parent / Guardian Information

Billing Information