Summer 2025 Template

WHAT: The best week of your life! A memory to last a lifetime created in just five days of high adventure, laughing, meeting new people, hanging with friends, great food, giant swing, zipline, Olympic-sized swimming pool, frisbee golf, ropes course, and much more! Plus incredible music and Wyldlife club with 500 other campers.

WHERE: Lost Canyon Camp (1450 S Perkinsville Rd. Williams, AZ. 86046)

WHEN: June 29, 2025 - July 03, 2025 . Departure: 11:30 AM at Chick-fil-A (2575 W Jomax Rd. Phoenix, AZ. 85085) Return: July 3rd around 4 pm at Chick-fil-A (2575 W Jomax Rd. Phoenix, AZ. 85085)

COST: $775 / $100 Deposit. *Deposit is nonrefundable. Money is nonrefundable after April 1st, 2025.* Camp Payments are due May 30th, 2025

FUNDRAISING: Ask a leader about raffle tickets. 100% of the profit goes to YOU!

After completing this form, a confirmation and a digital health form will be sent to the email you enter below.

Questions and Information

[email protected]

Participant Information

Guest Type

Registration Options

Register Camper with a deposit or full payment ($775.00) [Join Waitlist]
Please select to make a deposit or full payment below. This will be paid by credit card.

Participant Name

Date of Birth

Participant Phone

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Phone Type

Participant Email

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Participant Address

Gender

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Female

Additional Comment

Ethnicity

T-shirt Size (Adult Sizes)

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Health Form Status: The Health Form Status field is how a registrant will be given a registrant ID and access code to complete their health form. Remember you have to manually send each person that signs up a health form invitation. See this section of the Learning Guide.

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Total

$0.00

Billing Information: A required section for all registrations that have a cost.

Any offline payments will need to be added manually by the area in as explained in this section of the Learning Guide.

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
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Address

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