BuncoYL Leader Weekend

WHERE: Carolina Point

WHEN: January 24-26, 2025

COST: $20 (the NC Region generously gifted our leaders the majority of the cost of this trip! ♥️)

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

Questions and Information

Contact Teeny at the Young Life Office at: [email protected]

Participant Information

Guest Type

Registration Options

Register with full payment ($20.00)
This will be paid by credit card.
Register with an offline payment/$0 Deposit ($20.00)
To register without credit card information, select cash/check/offline.

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Special diet needs?

Ethnicity

T-shirt Size

School

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?

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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