2024 Young Lives Rockbridge Alum Springs Wk 8

WHERE: Rockbridge Alum Springs

WHEN: Saturday, July 13th - Wednesday, July 17th, 2024.

Departure: Saturday, July 13th at 7 AM

Return: Wednesday, July 17th at 6 pm

COST: $700 , a deposit of $50 is required to hold your spot.

Money is nonrefundable after April 1, 2024.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Eastern Fairfax at [email protected] or (804) 539 - 6165

Guest Type

Are you bringing a child?

Registration Options

Register with a $50 deposit or full payment ($700.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($700.00)

Participant Name

Date of Birth

Phone

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Participant Address

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T-shirt Size

High School Graduation Year

Additional Comments

Young Lives Camper's Parent / Guardian Information

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

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Parent/Guardian Email

Address is same as participant

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Total

$0.00

Billing Information

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