2024 Rockbridge Alum Springs Wk 6

WHERE: Rockbridge Alum Springs A Young Life Camp

WHEN: 2024-06-30 - 2024-07-05

Departure: Sunday, 7:00 AM (More details to come)

Return: Friday, 11:00PM (More details to come)

COST: $655, a deposit of $75 is required to hold your spot. This deposit goes towards the total cost of the trip.

Money is nonrefundable after March 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:

P.O. Box 2465 Elkins WV 26241

Brian Hayes: 330-685-0079 (Randolph County Area Director)

Megan Walters: 304-667-0640 (Tygart Valley Staff Associate)

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($655.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit or offline payment (cash) ($75.00)
registration without deposit must be discussed with Brian Hayes first.

Participant Name

Date of Birth

Phone

Phone Type

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Participant Address

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Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

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

Name

Payment Method

Credit Card

Address