2020 Summer Trip Registration
This form is for students, young adults, and chaperones to register for the Lake Country Life Teen 2020 Summer Trips. This registration is not final and your spot is not held until we receive a $100.00 non-refundable deposit and the "Registration Verification Form."
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Email *
Last Name *
First Name *
Trip Registering For: *
Registration Type: *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
School Name *
Current Grade *
2019 - 2020 School Year
Participant E-mail *
Participant Cell Phone # *
Participant Mailing Address *
Are You Registering as a Chaperone? *
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