Summer 2025 Template

WHAT: The best week of your life! Spend a week at a beautiful resort-style Young Life Camp where teens can make life-long memories with friends and their leaders.

WHERE: Rockbridge Alum Springs, Goshen, VA

WHEN: June 15 - June 20

COST: $790, a deposit of $100 is required to hold your spot.

Money is nonrefundable after June 15.

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] - (434) 942-8264

P.O. Box 804, Rocky Mount, VA, 24151

Participant Information

Guest Type

Registration Options: The field below is where you will register your camper with a few payment options. Some important things to note:

Parents may make additional payments using the provided payment link after they register.
Campers will have fundraising money subtracted from their remaining balance after they have been registered.
You will never be auto-charged if you have registered with an online deposit! In order to make an additional payment to camp after registering, use the link that was emailed to you at the time of registration.
If your camper is fundraising their entire trip, including their deposit, select "Register with offline payment."

Registration Options

Register with a deposit or full payment ($790.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($790.00)
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

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

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

Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information