Summer 2025 YoungLives Template

WHERE: Carolina Point

WHEN: July 21st-25th

COST: $150, a deposit of $50 is required to hold your spot.

Money is nonrefundable after March 31st.

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

Questions and Information

Contact Tanya Layne at [email protected]

Participant Information

Guest Type

Are you bringing a child?

Registration Options

Register with a deposit or full payment ($150.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($150.00)

Participant Name

Date of Birth

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 Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

T-shirt Size

Additional Comments

Parent / Guardian Information

Fill out the following parent/guardian information for the participant you are registering above.

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information