Summer 2025 Template

WHERE: Lost Canyon

WHEN: July 05, 2025 - July 09, 2025

Departure: Saturday, July 5th time & place TBD

Return: Wednesday, July 9th time & place TBD

COST: $599 a deposit of $100 is required to hold your spot.

Register & complete an online health form to get $150 off camp!!

More fundraising options available soon!

Money is nonrefundable after July 1st.

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

Questions and Information

Contact Graci Briseno (Wyldlife Team Lead) for more information:

480-527-5657

[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($599.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($599.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Date of Birth

Participant Phone

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Phone Type

Participant Email

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

Middle 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

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

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information