High School Overnight Program Registration – Snow Mountain Ranch

Sunday, August 5th – Thursday, August 9th, 2018

YMCA Camp of the Rockies – Snow Mountain Ranch – Granby, CO

Registration: $1497 includes lodging, meals, airport transportation, activity fees, t-shirt, and a trip to the Rocky Mountain National Park.

Program opened to teens entering grades 9-12. Registration is on first come, first served basis until rooms are filled.

Applicant and parent or legal guardian (if applicant is under 18 years) must read, complete, and sign this form.

Applicant's Information (Required):
First Name:
Last Name:
FemaleMale
Applicant's Email:
Date of Birth:
Day:
Year:
Home Phone:
Applicant Cell Phone:
Primary Street Address:
City:
State
Zip:
Country:

Leadership Positions Held (Not Required for Attendance):

Applicant T-Shirt Size:

Youth LargeAdult SmallAdult MediumAdult LargeAdult Extra Large

School Information (Required):
School I will represent:
Grade:
School Address:
City:
State
Zip:
Country:
School Phone:

Parent/Guardian #1 (Required):
Name:
Profession:
Work or Cell Phone:
Preferred Email:

Parent/Guardian #2:
Name:
Profession:
Work or Cell Phone:
Preferred Email:

Notes/Comments:

* First come, first served. No refunds will be granted, but a same-gender substitution can be made up to June 20.

 

Please register before processing online payment

Pay online:

Pay by check:

Mail check to:
Leaders for Life International
P.O. Box 44
Clinton, NY 13323