2024 Rockbridge Alum Springs Wk 3

WHERE: Rockbridge Alum Springs

WHEN: June 11 - June 16

Departure: June 11 @ 12pm

Return: June 16 @ 5pm

COST: $ 779, a deposit of $150 is required to hold your spot.

Money is nonrefundable after April 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:

PO Box 20464 , Roanoke 24018

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($779.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($779.00)

Participant Name

Date of Birth

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Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Name

Phone

Phone Type

Address is same as participant

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Would you like to cover the 2.5% credit card processing fee?

Total

$0.00

Name

Payment Method

Credit Card

Address