Heart & Soil Interest Form

1
Full Name* This field is required.Enter name of the young man (ages 12-18) attending.
First Name
Last Name
2
Parent/Guardian Name* This field is required.Enter name of the parent/guardian of young man attending.
First Name
Last Name
3
Parent/Guardian E-mail* This field is required.
4
Phone Number* This field is required.
Area Code
Phone Number
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AgeEnter age of young man attending
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Do you live in the Phoenix Metro area?* This field is required.
YESNO
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Any Special Needs or ConcernsLET US KNOW ABOUT ANY SPECIAL CONSIDERATIONS (ALLERGIES, PHOBIAS, OR SPECIAL DIET)
8
Reservation SummaryDetails of the upcoming 2025 L.E.GA.C.Y. Camp
9
Registration Dues* This field is required.
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ORDER SUMMARY
Total costUSD
3 Day 2 Night Retreat: Oct 17th - 19th, 2025What’s Included in Your Registration?✔ 3 days of immersive mentorship, leadership training, and empowerment workshops✔ Lodging and meals for the duration of the camp✔ Outdoor and team-building activities✔ Camp materials and exclusive L.E.G.A.C.Y. Camp gear✔ A transformative experience that lasts a lifetime!
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