Cleveland WyldLife Summer Camp

WHERE: Springhill Camp Indiana

WHEN: July 09, 2024 - July 13, 2024

Departure: Tuesday, July 9 early morning

Return: Saturday, July 13 evening

COST: $600, a deposit of $150 is required to hold your spot.

Money is nonrefundable after June 1.

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

Questions and Information

Contact at the trip leader (Evan Withrow) at:

Participant Information

Guest Type

Registration Options

Register with a CREDIT CARD deposit or full payment ($600.00)
Please select to make a deposit or full payment below.
Register with an OFFLINE deposit ($600.00)
** NOTE: Use this for all offline payments! We will credit your balance when payment is received offline by leader.

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Ethnicity

T-shirt Size

School

Additional Comments

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

Name

Payment Method

Credit Card

Address