Summer 2025 Template

WHERE: LOST CANYON

WHEN: June 8th, 2025 - June 13th, 2025

Departure: Sunday, June 08, 3:00am

Return: Friday, June 13th, 11:00pm

COST: Total Cost $830

a deposit of $50 is required to hold your spot.

Money is nonrefundable after June 8th

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

Questions and Information

Contact: Seth Vaughn

phone: (864)-982-6042

Email: [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($830.00)
Please select to make a deposit $50 or full payment below. This will be paid by credit card.

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

High 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

Credit Card Fee

$0.00

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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