Young Life Camp

WHERE: Southwind, a Young Life Camp

18115 SE 95th Street Rd, Ocklawaha, FL 32179

WHEN: November 20, 2026 - November 22, 2026

Departure: Friday, November 20th at ?? from ??

Return: Sunday, November 22nd at ?? from ??

COST: $285. A deposit of $150 is required to hold your spot.

Money is nonrefundable after November 1st.

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

Questions and Information

Contact Anne Koch at:

[email protected]

407-810-8673

Participant Information

Guest Type

Camper
Leader

Registration Options

Register with a deposit or full payment ($285.00)
Please select to make a deposit of $150 or pay in full below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($285.00)
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

Phone

Phone Type

Participant Address

Gender

Male
Female

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