Summer 2025 Template

WHERE: Carolina Point Young Life Camp | Brevard, NC

WHEN: June 15, 2025 - June 21, 2025
Departure: Early morning June 15th (more details to come)
Return: Nighttime June 21st (more details to come)

COST: $975, a deposit of $150 is required to hold your spot.
Finances should never keep a kid from experiencing Young Life Camp. In this case, a camper & their parent/guardian can fill out our Scholarship Application Form.

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

With questions contact:
Contact at the Young Life Jax Beaches at:
Abby Magill | [email protected] | 904.472.4457

Participant Information

Guest Type

Registration Options

Register with a deposit($150) or full payment ($975.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with a Pre-Approved Scholarship ($50.00)
This option must be approved by Abby prior to registration. Please complete the Scholarship Application Form with a parent/guardian - form linked above.

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.

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

Coupon Code

Participant Information

Parent / Guardian Information

Billing Information