Summer 2025 Template

WHERE: Southwind

WHEN: May 29, 2025 - June 02, 2025

Departure: Thursday, May 29, 2025 at 3:15 AM

Return: Monday, June 02, 2025

COST: $925, a deposit of $200 is required to hold your spot.

Money is nonrefundable after 3/31/2025.

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

Questions and Information

Contact at the Young Life Office at:

PO Box 18105, Hattiesburg, MS 39404

(904) 253-9373 - [email protected]

Participant Information

Guest Type

Registration Options

Register with online deposit or full payment. ($925.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with offline deposit or full payment ($925.00)
Check made out to Young Life and given to Area Director

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.

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

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

Participant Information

Parent / Guardian Information

Billing Information