Summer 2025 Template

WHERE: Lost Canyon (link)

WHEN: June 29- July 3rd, 2025

Departure: Sunday, June 29th, 10:00AM from Desert Springs Bible Church, 16215 N Tatum Blvd, Phoenix, AZ 85032.

Return: Thursday, July 3rd around 5:00PM at Desert Springs Bible Church.

COST: $750

This cost includes meals, transportation, and lodging.

**There is an opportunity to receive $150 discount if you fill out the health form before April 1. You can complete the health form online by clicking here.

You may need the details below when completing the health form:

Area number: AZ61
Dates: June 29-July 3rd
Camp Name: Lost Canyon
Camp Week: Week 5

**Health forms completed on April 1st or after will not be eligible for the $150 discount**

Questions and Information

Contact Jorge Lujan at:

[email protected] or 602-703-2146

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($750.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($750.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
register with a $50 deposit ($750.00)

Participant Name

Date of Birth

Participant Phone

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Phone Type

Participant Email

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

School

High School Graduation Year

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