2024 Carolina Point Week 5

WHERE: Carolina Point - a Young Life camp in Brevard, NC

WHEN: June 23, 2024 - June 29, 2024

Departure: early Sunday morning, June 23rd

Return: Saturday, June 29th around 8 pm

COST: $975, a deposit of $150 is required to hold your spot.

Money is nonrefundable after May 15th.

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

Questions and Information

[email protected]

Participant Information

Guest Type

Registration Options

Coupon Code

Participant Name

Date of Birth

Phone

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

Have you been to a week long summer trip before?

If yes, who are your three first timers signing up for camp?

High School Graduation Year

Who is your Young Life leader?

Additional Comments

Medical Information

Does your student have any allergies or medical conditions we need to be made aware of?

If yes:

Emergency Contact Name (different than Parent/Guardian)

Emergency Contact Number (different than Parent/Guardian)

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant*

Address

Would you like to cover the 4% processing fee?

Total

$0.00

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In the future, you will be given the opportunity to manage your communication preferences.

Billing Information

Name

Payment Method

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Credit Card

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American Express
Discover

Address

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