Summer 2025 Template

WHERE: Castaway Club, Pelican Lake, Detroit Lakes, MN

WHEN: July 25-July 29, 2024

Departure: July 25 at 9:00am

Return: July 29 around 6:00pm

COST: $ 750*

A non-refundable $100 deposit is required to save your seat on the bus.

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

Questions and Information

[email protected]

Mike: 701-425-8674

Medora: 701-400-4403

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.

Summer 2025

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