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, and updates. Message frequency varies. Message and data rates may apply. Reply STOP to cancel. 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