2024 Castaway Club Wk 6

WHERE: Castaway Club

WHEN: 2024-07-23 - 2024-07-28

Departure: Tuesday, July 23 / Early Bus

Return: Sunday, July 28

COST: $799.00, a deposit of $150.00 is required to hold your spot.

Money is nonrefundable after March 31.

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

Questions and Information

Contact the Young Life Office at:

3016 Ann Drive, Bloomington, IL 61704

Participant Information

Guest Type

Registration Options

Participant Name

Date of Birth

Phone

Phone Type

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Participant Address

Gender

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Name

Phone

Phone Type

Address is same as participant

Address

Do you qualify for free or reduced lunch?

Total

$0.00

Name

Payment Method

Credit Card

Address