Nov Clearwater Cove

WHERE: Young Life's Clearwater Cove in Lampe, MO

WHEN: Nov 6, 2026 - Nov 8, 2026

Departure: Friday, Nov 6 (*there will be a late bus option only available for football players, cheerleaders, and senior student section leaders)

Return: Sunday, Nov 8, 2026

COST: $379, a deposit of $75 is required to hold your spot. The deposit is non-refundable; all other money is non-refundable.

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

Questions and Information

Contact at the Young Life Office at:

658 Colonial Rd., Memphis, TN 38117

ECS, Briarcrest, Houston - Zach Zimmermann | (865) 566-2982 | [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($379.00*) + Fees and Processing
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($379.00*) + Fees and Processing
To register without credit card information, select cash/check/offline below. This option will also create a payment link for the full balance listed.
Leader Registration ($50.00*) + Fees and Processing

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

School

Ethnicity

T-shirt Size

High School Graduation Year

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% processing fee?

Credit Card Process Fee

$0.00

Total

$0.00

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.

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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