Camp Luther 2024

WHERE: CAMP LUTHER, 1050 Road 4, Schuyler NE

WHEN: June 7th through June 9th

Departure: Friday June 7th @ NOON

Return: Sunday June 9th @ 3:00PM

COST: $200.00

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

Questions and Information

Sharon Knuth and Rebeccah Kirkpatrick are leaders of this trip, please talk to them directly for details.

To contact the Young Life Office Administrator

Christie McCarthy, 402-533-3838 or [email protected]

Office location: 2324 Bob Boozer Dr, Omaha NE 68130

Participant Information

Guest Type

Registration Options

Register with a payment ($200.00)
Payment is made with a credit or debit card payment now. $200 is the full price for camp or make a $50 deposit.
Check payment ($200.00)
Please give a check to Sharon or Rebeccah

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

Phone Type

Parent/Guardian Email

Address is same as participant*

Address

Would you like to cover the 2.5% processing fee?

Total

$200.00

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.

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox