Wyld Life Weekend Camp

WHERE: Clearwater Cove - Lampe, MO

WHEN: October 24, 2025 - October 26, 2025

Departure: Friday, October 24th - 4:00pm from Countryside Church

Return: Sunday, October 26th - 4:00pm to Countryside Church

COST: $175, a deposit of $75 is required to hold your spot.

Money is nonrefundable after October 1.

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

Questions and Information

Contact the Young Life Office:

Ross Bebee - [email protected] or (214) 695-8685

Katie Alexander (Admin) - [email protected]

Participant Information

Guest Type

Fall 2025

CWC WyldLife Weekend Camp

Registration Options

Register with a Deposit or Full Payment ($175.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an OFFLINE payment $75 Deposit or Full Payment ($175.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

T-shirt Size

School

Current Grade for 2025-2026 School Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant*

Address

Would you like to cover the 2.5% processing fee?

Credit Card Process Fee

$0.00

Total

$0.00

By filling out this form, you are opting in to Young Life communications.
In the future, you will be given the opportunity to manage your communication preferences.

Billing Information

Name

Payment Method

Cash/Check/Offline

Please enter billing information, which may be different from above.

Address

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