Summer 2025 Template

WHERE: LoneHollow Ranch - Vanderpool, TX

WHEN: July 16, 2025 - July 20, 2025

Departure: Wednesday, July 16 at approx. 5am

Return: Sunday, July 20 at approx. 10pm

COST: $560 total; a deposit of $50 is required to hold your spot.

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

Questions and Information

Contact Angela Pratt at:

(580) 341-8229 or [email protected]

Participant Information

Guest Type

Summer 2025

LoneHollow Ranch - Week 4

Registration Options

Register with a deposit or full payment ($560.00)
Please select to make a deposit or full payment below. This will be paid by credit card.

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

T-shirt Size

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