Young Life Camp

WHERE: Lost Canyon, Williams, AZ

WHEN: November 20, 2026 - November 22, 2026

Departure: Friday, Nov 20 at 7:00PM

Return: Sunday, Nov 22 at 1PM

COST: $150, a deposit of $50 is required to hold your spot.

Money is nonrefundable after November 15th

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

Questions and Information

Contact at the Jana at the Young Life Office 623-312-5677

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($150.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($150.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
Register with WORK CREW Credit ($0.00)
If you have done or are planning to do a paid work crew in September/October 2026. $150 will be credited.
Register with Family Camp Work Crew ($0.00)
I served on Family Camp Work Crew and my camp is covered

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% processing fee?

Total

$0.00

By filling out this form, you are opting in to Young Life communications.
In the future, you will be given the opportunity to manage your communication preferences.

Participant Information

Parent / Guardian Information

Billing Information