Summer Camp 2023

WHERE: Rockbridge Alum Springs

WHEN: August 4-8, 2024

COST: $ 699

Money is nonrefundable after April 1st

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

Questions and Information

Contact at the Young Life Office at:

540-705-1547

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($699.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($699.00)

Participant Name

Date of Birth

Phone

Phone Type

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Participant Address

Gender

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Name

Payment Method

Credit Card

Address