Young Life Camp

WHERE: Washington Family Ranch

WHEN: November 20, 2026 - November 22, 2026

Departure: Friday, Nov. 20th at 5 pm at Eastside Imago Dei Church

Return: Sunday, Nov. 22nd around 3:30 pm (back at Eastside Imago Dei Church)

COST: $90

Money is nonrefundable after Nov. 15.

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

Questions and Information

Contact the Young Life Office at 503.708.8775 or [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit ($25) or full payment ($90.00)
Please select to make an online deposit or full payment (you will fill credit card info under "Billing Info" below).
Register with an offline payment/$0 Deposit ($90.00)
To register without credit card information, click this option and then below under "Billing Info" select cash/check/offline. Please note your spot will not be held until a deposit is received.
Adult Volunteer Leader ($0.00)

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

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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