Discipleship Weekend

WHERE: Washington Family Ranch Creekside in Antelope, OR

WHEN: May 24, 2024 - May 27, 2024

Departure: 12pm, Friday May 24

Return: 7pm, Monday May 27

COST: $425, $100 deposit required to register

Deposit is non-refundable and non-transferable

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

Questions and Information

Contact Whitney at the Young Life Office at:

253-735-3247 (call or text)

[email protected]

Participant Information

Guest Type

Registration Options

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

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% processing fee?

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

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox