Central Jeffco YL Camp at Clearwater Cove

WHERE: Clearwater Cove

WHEN: July 15-20th, 2024

Departure: Sunday, July 14th at 8:00pm

Return: Sunday, July 21st around 2am

COST: $950, a deposit of $150 is required to hold your spot.

Money is nonrefundable after June 15

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

Questions and Information

Elsa Puerner, Area Director

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($950.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($950.00)
Cash/ Check ($0.00)
Checks can be sent to...

Central Jeffco Young Life
601 16th St.
Unit C #203
Golden, CO 80401

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

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Dietary Restrictions

Name

Phone

Phone Type

Address is same as participant

Address

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

Total

$0.00

Coupon Code

Name

Payment Method

Credit Card

Address