Summer 2025 Template

WHERE: Rockbridge Alum Springs in Goshen, VA

WHEN: June 3-8, 2025

Departure: Tuesday, June 3 at 11:30 AM

Return: Sunday, June 8 at 4:30 PM

COST: $799, a deposit of $100 is required to hold your spot.

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:

540.525.5686 or [email protected]

Participant Information

Guest Type

Registration Options

Register w/ Deposit ($799.00)
Register w/ Full Payment ($799.00)
Pay w/ $50 Deposit ($799.00)

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

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

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Coupon Code

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information