Summer 2025 Template

WHERE: Rockbride Alum Springs (A Young Life camp in Goshen, VA)

WHEN: July 27, 2025 - July 31, 2025

Departure: Sunday AM, July 27th at The Home Depot Parking Lot on Mt. Moriah Road in Durham, NC. We will stop on the way for lunch!

Return: Thursday, July 31st around 5pm

COST: $749, a deposit of $ 150 is required to hold your spot.

Money is nonrefundable after April 1, 2025. If there is financial need please fill out this form HERE!

Hillsborough Schools use this link to register!

Questions and Information

After completing this form, a confirmation will be sent with the information you have entered below. Contact at the Young Life Office by emailing [email protected]

Participant Information

Guest Type

Wyld Life Summer Camp

Rockbridge

Registration Options

Register with a deposit or full payment ($749.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($749.00)
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

Phone Type

Participant Email

Opt-in to receive email and text message communications.

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Participant Address

Gender

Male
Female

Ethnicity

T-shirt Size

School Name

High School Graduation Year

Dietary Restrictions

Additional Comment

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian 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

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