MN Valley Rosemount, Farmington, Lakeville, + Burnsville Young Life Fall Camp 2026!

Participant Information

Guest Type

Which Young Life Group do you attend?

Registration Options

Register with a deposit or full payment ($225.00)
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Register with an offline payment/$0 Deposit ($225.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Does your student have any dietary needs/allergies

Ethnicity

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Address

Total

$0.00

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Billing Information

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Name

Payment Method

Credit Card
Cash/Check/Offline

Credit CardSecure Payment

Address

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