2024 Castaway Club Wk 1

WHERE: Castaway Club

WHEN: 2024-06-16 - 2024-06-21

Departure: June 15, 2024 around 9:00PM

Return: June 22, 2024 around 10:00am

COST: $ 899 a deposit of $ 100 is required to hold your spot.

Money is nonrefundable after March 27, 2024

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:

Kyle Kuipers 616.834.4393 or [email protected]

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

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

Credit Card Fee

$0.00

Total

$0.00

Name

Payment Method

Credit Card

Address