Summer 2025 Template

WHERE: Rockbridge Alum Springs, Goshen, VA

WHEN: July 17, 2025 - July 21, 2025

COST: $625. A deposit of $100 can save your spot. There are multiple area fundraisers that can help you raise your entire trip!

A deposit is nonrefundable after March 15th, 2025.

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:

117A 3rd Avenue, Radford, VA 24141

(540) 392-0943

[email protected]

Participant Information

Guest Type

Registration Options

Basic Registration ($625.00) [Join Waitlist]
Register using a fundraiser ($625.00)
Use this if you've already raised money through a fundraiser and want to use it as your deposit
Register as a Leader ($0.00)
Leaders only!

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

$625.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Event Registration Software by RegFox