Summer 2025 Template

WHERE: Noah's Ark - Buena Vista, Colorado

WHEN: June 16, 2025 - June 21, 2025

Departure: Monday, June 16th in the early morning

Return: Saturday/Sunday, June 21/22nd late night or early morning

COST: $1200, a deposit of $200 is required to hold your spot.

Money is nonrefundable

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

Questions and Information

Contact Emma or Robin at:

512-966-5675 - [email protected]

Participant Information

Guest Type

Registration Options

Backpacking Adventure ($0.00)

Registration Options

Register with a $200 deposit by credit card, cash or check. ($1,200.00)
To make a deposit now by credit card, enter your credit card information below. If you have paid the deposit by cash or check, select cash/check/offline below.
Register with a full payment by credit card ($1,200.00)
Please select to make a full payment below. This will be paid by credit card.

Participant Name

Date of Birth

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Participant Email

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

High School Graduation Year

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

You must enter a correct parent email that your parent routinely checks!

Parent/Guardian Email

Address is same as participant

Address

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

Total

$0.00

Participant Information

Parent / Guardian Information

You must enter a correct parent email that your parent routinely checks!

Billing Information