Young Life Southwind

WHERE: Southwind - Ocklawaha, FL

Who: All High Schoolers 9th, 10th, 11th, & 12th grade

WHEN: Nov. 22-24, 2024

COST: $235, a deposit of $100 is required to hold your spot.

Money is nonrefundable after Nov 1st, 2024

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

Questions and Information

**An email with more information and required paperwork will be sent prior to the trip.**

Logan Harrington (229) 669-8908 or [email protected]

Participant Information

Guest Type

Southwind Weekend Fall 2024

Southwind

Registration Options

Register with a deposit or full payment ($235.00)
Please select to make a deposit or full payment below.
If paying with check, make it payable to Young Life and select offline payment below.
Register with an offline payment/$0 Deposit ($235.00)
To register without credit card information, select cash/check/offline below.

Note: If you choose to pay the deposit offline, you will need to bring in a check or cash to the Young Life office by Nov 1, 2024. A payment link will be created and emailed to you for the remaining balance.

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

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

Phone Type

Parent/Guardian Email

Address is same as participant*

Address

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.

Participant Information

Parent / Guardian Information

Billing Information