2024 Rockbridge Alum Springs Wk 12

WHERE: Rockbridge Alum Springs

WHEN: 2024-08-04 - 2024-08-08

Departure: Sunday August 4, location and time TBD

Return: Thursday August 8, location and time TBD

COST: $725, a deposit of $200 is required to hold your spot.

Money is nonrefundable.

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:

[email protected] - (443) 831-6138

9839 Lyon Ave, Laurel, MD 20723

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($725.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register with a $0 deposit ($725.00)
Register as a Leader ($125.00)

Summer Camp

Rockbridge

Participant Name

Date of Birth

Phone

Phone Type

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

Young Life's desire is for every person to feel a sense of belonging. This year, due to HIPPA regulations, participants who need aids or other disability related accommodations to participate in Young Life's programs are invited to make their needs and preferences known ON YOUR HEALTH FORM. This form will be sent directly to you within a few days of registration. This is also where you can share all the ways we can best support your student.

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

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

Participant Information

Parent / Guardian Information

Billing Information