Summer 2025 Template

WHERE: Rockbridge Alum Springs, Goshen, VA

WHEN: July 27, 2025 - July 31, 2025

Departure: Sunday, July 27 at 8 AM

Return: Thursday, July 31 between 5 and 6 PM

COST: $775, a deposit of $100 is required to hold your spot.

Deposit is non-refundable after January 15th

Deposit and 50% of payments made are non refundable after April 1st

Completely non-refundable after June 15th

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

Questions and Information

Contact Gabby Brubaker for any questions, comments, concerns at [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($775.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment ($775.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
Leader Registration ($0.00)

Participant Name

Date of Birth

Participant Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Participant Email

Opt-in to receive email and text message communications.

You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size (In adult sizes!!)

School

High School Graduation Year

Does your student have any behavioral issues that we need to be aware of?

Is this your student's first time going to a sleep away camp?

Does your student have any special diets? If so, what?

Who would your student like to room with?

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