2024 Malibu Club Wk 8

WHERE: Malibu Club

WHEN: July 27- August 3, 2024

Departure: Saturday, July 27 Departure Time TBA

Return: Saturday, August 3 Time TBA

COST: $995, a deposit of $100 is required to hold your spot. Please pay deposit at time of registration.

Money is nonrefundable after April 1, 2024

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact at the Young Life Office at:

North Idaho Young Life

PO Box 3087 Coeur d'Alene, Idaho 83816

208.762.8218 [email protected]

Participant Information

Guest Type

Registration Options

Camper Register with a deposit or full payment ($995.00)
Leader Register with a deposit of full payment ($995.00)

Fundraising

I would like to participate in fundraising

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

School

Grade for 2023-2024 School Year

Food Allergies

Additional Comments

Parent / Guardian Information

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox