Summer 2025 Template

WHERE: Adventures Santa Cruz

WHEN: August 03, 2025 - August 07, 2025

Departure: Sunday, Aug 3 at 10:00 am

Return: Thursday, August 7th at approximately 3:00 pm

COST: $ 600, a deposit of $ 50 is required to hold your spot.

Money is nonrefundable.

After completing this form, a confirmation will be sent with the information you have entered below. You will also receive a second enail with a link to the Health Form that MUST be completed!!!

Questions and Information

Contact at the Young Life Office at:

Debra Fiedller 707-533-5871

Participant Information

Guest Type

Registration Options

Register with a Credit Card deposit OR full payment by ($600.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline CASH payment/$0 deposit ($600.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
Register with $50 offline CASH Deposit Payment ($50.00)
Please pay to Debra Fiedler immediately to hold your spot!!!
SELECT the offline payment in Billing Section

Participant Name

Date of Birth

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. Reply STOP to cancel. View our terms of service & privacy policy.

Phone Type

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

Grade in School

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

This is the email where the link to the Mandatory Health Form will be sent.

Address is same as participant

Address

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

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information