Summer 2025 Template

WHERE: Lost Canyon (1450 S Perkinsville Rd, Williams, AZ 86046)

WHEN: June 29, 2025 - July 03, 2025

Departure: Sunday, June 29 (Early morning/ details TBD)

Return: Thursday, July 3 (Late evening/ details TBD)

COST: $700, a deposit of $ 100 is required to hold your spot.

Money is nonrefundable after June 1.

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

Questions and Information

Contact Aidan Balandran at [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($700.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($700.00)
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

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Participant Email

Opt-in to receive email and text message communications.

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Dietary Restrictions

If yes, then select

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% credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information