Summer 2025 Template

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

WHEN: June 09, 2025 - June 14, 2025

Departure: Early in the morning on Monday June 9th

Return: Late on Saturday June 14th

Exact Departure/Return location and times will be announced as the trip approaches.

COST: $785, a deposit of $150 is required to hold your spot. The deposit is NON-REFUNDABLE. Final Payment for camp is due by May 30, 2025!

Questions and Information

Contact at the Young Life Office at [email protected].

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

Participant Information

Guest Type

School

Registration Options

Register with an ONLINE deposit or full payment ($785.00)
Register with an OFFLINE (CASH/CHECK) deposit or full payment ($785.00)
Cash/checks can be mailed to Young Life Dayton 1140 Reveres Run Lebanon, OH 45036 or turned in to a Young Life leader.

Participant Name

Date of Birth

Participant Phone

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

Phone Type

Camper/Leader 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

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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

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