Summer 2025 Template

WHERE: Rockbridge Alum Springs - 170 Spring House Rd, Goshen, VA

WHEN: June 28, 2025 - July 03, 2025

Departure: Saturday, June 28 AM

Return: Thursday, July 3 PM

COST: $ 900, a deposit of $ 150 is required to hold your spot.

Money is nonrefundable after June 1.

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

Questions and Information

Bella Rivas

[email protected]

‭+1 (540) 840-3219‬

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($900.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$150 deposit ($900.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Please check this option if you are seeking a scholarship - make sure to contact Bella Rivas at [email protected] to discuss full and partial scholarship options.
Register with ($0.00)

Participant Name

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T-shirt Size

School

High School Graduation Year

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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