2024 Clearwater Cove Wk 4

WHERE: Clearwater Cove

WHEN: June 12th - June 16th, 2024

COST: A $50 is required to hold your spot.

We will leave early on June 12th and return home very late on June 16th, more details to come closer to camp!

Deposit non-refundable after March 30th, 2024.

After completing this form, a confirmation will be sent with the information you have entered below. Please keep the confirmation email to make future payments!

Questions and Information

Contact your team leader!

Bryan Station Middle: Amanda Hubler (859) 420-0912 | [email protected]

EJ Hayes: Kendall Harberson (859) 619-3886 | [email protected]

Jessie Clark: Katie Brown (859) 494-4059 | [email protected]

Morton: Hadley Carmichael (864) 345-3258 | [email protected]

Tates Creek Middle: Andrew Fields (859) 777-2012 | [email protected]

Participant Information

School

Guest Type

Registration Options

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

Participant Name

Date of Birth

Phone

Phone Type

Opt-in to receive email and text message communications.

You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

Grade

Additional Comments

Parent / Guardian Information

Name

Phone

Phone Type

Address is same as participant

Address

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox