Family Weekend Registration
Thank you so much for your interest in attending Family Weekend. This is your official Family Weekend Registration. Please complete all the required fields, then use the link at the end to pay. Your spots are not officially held until payment is received. If you have any questions or concerns, please reach out to Courtney Boulware at cboulwareyl@gmail.com or 203-885-8097.

Where: Lake Champion, 247 Mohican lake Road, Glen Spey, NY 12737
When: Sept. 13-15, 2019
Who's invited: Everyone who wants to have a great time on a beautiful property with the whole family! Children of all ages welcome.
Cost: Contact your local Young Life Area for Cost Information
Name of person completing form: *
Your answer
Name of YL Staff Person
Your answer
Phone number: *
Your answer
Email: *
Your answer
Town your family lives in or Young Life Area associated with: *
Your answer
How many people in your family are attending? *
Your answer
Names and ages of those attending: *
Your answer
Does anyone in your family have any food allergies? If so please list below: *
Your answer
If special housing is available, would this benefit your family? (Young infant who will be up at night, or other specific family situations requiring separate housing from a larger group) If you select yes, and please ask your trip leader/area staff person for availability. Special housing does incur extra charges and is very limited.
Photo and Video Release: *
I grant Young Life, its representatives and employees the right to take photographs of my family in connection with the above-identified subject. I authorize Young Life, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Young Life may use such photographs of my family or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
Required
Please Read and Check agreement below: *
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Is there anyone else you would like us to send information about family camp to? If yes please list their email address.
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Is there anything else we should know?
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