SR. HIGH LAKE TRIP
JUNE 5-7, 2025
Student Name
*
First Name
Last Name
Student Cell Phone Number
*
-
Area Code
Phone Number
Gender
*
Female
Male
CURRENT Grade
*
10th Grade
11th Grade
12th Grade
(2025-2026 School Year)
T-shirt Size
*
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Friend Request (please list 1-3 names)
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PARENT/GUARDIAN INFORMATION
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
yac@yacherd.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Home Address (Student's Primary Residence)
*
Street Address
Street Address Line 2
City
State
Zip Code
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MEDICAL INFORMATION
Has your student already completed a registration for another 2025 YAC trip?
*
Yes, my student is registered for the Confirmation Retreat 2026!
Yes, my student is registered for Discovery Weekend 2026!
Yes, my student is registered for Magic City Work Week 2026!
No, my student has not currently registered for other 2026 YAC trips
SUBMIT
Should be Empty: