Summer 2025 Template

WHERE: Rockbridge Alum Springs, 170 Spring House Rd, Goshen VA 24439

WHEN: June 22-27th, 2025

Departure: Sunday, June 22nd @ 10:00 AM from West Potomac HS

Return: Friday, June 27th @ 4:30 PM to West Potomac HS

COST: $800 a deposit of $250 is required to hold your spot

Cost includes transportation on a charter bus, resort lodging, every meal while at camp, all activities during the week, and a camp t-shirt.

Deposits are non-refundable after May 1st.

**SCHOLARSHIPS ARE AVAILABLE. Please talk to a YL leader for more information.

Questions and Information:

Contact the Young Life Office at [email protected]

PO Box 16524
Alexandria, VA 22302

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($800.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$250 deposit ($800.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Date of Birth

Participant Phone

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Participant Email

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

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