2024 PEYoungLifeCampCanyon Wk 2

WHERE: Washington Family Ranch

WHEN: July 22, 2024 - July 27, 2024

Departure: Monday, 7/22 @ 10 am, Mall 205 Target Parking Lot (9800 SE Washington St, Portland, OR 97216)

Return: Saturday, 7/27 around 3:30-4:00 pm @ Mall 205 Target Parking Lot

COST: $425, a deposit of $50 is required to hold your spot.

Money is nonrefundable after June 15, 2024.

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

Questions and Information

Contact PEYL Administrative Assistant Kim Satterthwaite at: [email protected]

or text/call 503-413-0322.

Participant Information

Guest Type

Summer 2024

Canyon Week 2

Registration Options

Are you applying for the F & R Lunch scholarship?

Are you a first time camper?

Participant Name

Date of Birth

Phone

Phone Type

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

Current Year in School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Credit Card Fee

$0.00

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox