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WyldLife Winter Camp 2019: Nov 8-10th $199
Please fill out the information below to confirm your spot on the bus for our trip to Frontier Ranch 2019. A $50 non-refundable deposit secures your spot for the best weekend EVER!
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* Indicates required question
First Name (camper)
*
Your answer
Last Name (camper)
*
Your answer
Male/Female Camper
*
Female
Male
School Camper Attends
*
Choose
Redlands Middle
West Middle
Fruita Middle
Mount Garfield Middle
Option 5
Cell (camper)
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Contact Number
*
Your answer
Parent/Guardian email for camp and future communication
*
Your answer
Year in School
*
Choose
6th
7th
8th
T Shirt Size
XS
S
M
L
XL
XXL
Clear selection
Dietary Needs (list any allergies or special dietary needs)
Your answer
I will be paying: (if paying by check or money order please make check payable to Young Life and mail to: 2500 Broadway Unit B, PMB 223, Grand Junction, CO 81507
Check/Cash/Money Order
Online
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