2024 WyldLife Rockbridge

WHERE: Rockbridge Alum Springs

WHEN: July 19-23

Departure: July 19 @ 12pm

Return: July 23 @ 2pm

COST: $650, 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:

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($650.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($650.00)

Participant Name

Date of Birth

Participant Address

Gender

Additional Comment

Ethnicity

Adult T-shirt Size

School

High School Graduation Year

Additional Comments

Name

Phone

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.

Address is same as participant

Address

Total

$0.00

Name

Payment Method

Credit Card

Address