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Young Life's Crooked Creek Camp Registration
June 16th-24th, 2018
For more information contact your school's Young Life staffer or trip leaders,
David Imthurn (832) 226-3167 or Luke Werhan (316) 650-2718
Price: $950.00
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School
*
W.T. White
Hillcrest
Thomas Jefferson
ESD
St. Marks
Jesuit
Greenhill
Hockaday
Ursuline
First Name
*
Your answer
Last Name
*
Your answer
Your Cell Phone
*
Your answer
Your Class
*
Freshman
Sophomore
Junior
Senior
Birthday
*
MM
/
DD
/
YYYY
Male or Female
*
Female
Male
Parent(s)/Guardian Name
*
Your answer
Parent(s)/Guardian Phone
*
Your answer
Parent(s)/Guardian Email
*
Write N/A if parent does not have email.
Your answer
T - Shirt Size
*
Small
Medium
Large
XL
Other:
Amount for Deposit:
*
Your answer
Will this be your First Time at Young Life Camp?
*
1
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3
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