2024 Rockbridge Alum Springs Wk 8

WHERE: Rockbridge Alum Springs

WHEN:

Departure: Saturday, July 13, 2024

Return: Wednesday, July 17, 2024

COST: $650, a deposit of $0 is required to hold your spot.

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] - (804) 301-9031

PO Box 7189, Richmond, VA, 23221

Participant Information

Guest Type

Are you bringing a child?

Registration Options

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

T-shirt Size

High School Graduation Year

Additional Comments

Parent / Guardian Information

Fill out the following parent/guardian information for the participant you are registering above.

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

Total

$0.00

Billing Information

Name

Payment Method

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Credit Card

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Discover

Address

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