Summer 2025 YoungLives ChildcareTemplate

WHERE: Rockbridge Alum Springs - Goshen, VA

WHEN: July 05, 2025 - July 09, 2025

Departure: Morning of July 5th

Return: Evening of July 9th

COST: $600

Money is nonrefundable after July 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:

[email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($600.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/0 deposit ($600.00)
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

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

Ethnicity

Parent / Guardian/ Emergency Contact Information

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian/ Emergency Contact Information

Billing Information