Summer 2025 Template

WHERE: Lake Champion - 247 Mohican Lake Rd, Glen Spey, NY 12737

WHEN: June 08, 2025 - June 14, 2025

Departure: Late on Sunday June 8th

Return: Very late on Saturday June 14th

SECURE YOUR SPOT! A deposit of $150 is required to hold your spot. The deposit is NON-REFUNDABLE. Final Payment for camp is due by May 29, 2025!

Questions and Information

Contact at the Young Life Office at [email protected].

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

Participant Information

Guest Type

School

Participant Name

Date of Birth

Participant Phone

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Phone Type

Camper/Leader 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

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