Group Hold Request

For congregational youth camp purposes only. Please contact our registrar at info@losd.org or 605-274-5326 with any questions.

Name

First Name

Last Name

Email

Church Name

Church Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of Spots

Please break down spaces in the format of Youth: # of Male/Female/Non-binary and Adults

Camp Name

Outlaw Ranch, NeSoDak, and/or Klein Ranch

Camp Program Name

ie. Confirmation Camp, Adventures, Youth Camp, etc.

Camp Dates

Additional Comment/Information