Young Life Camp

WHO: Any middle school aged student in the Dulles South area!

WHAT: The best weekend of the year at an amazing Young Life property!

WHERE: Rockbridge Alum Springs

WHEN: January 24-26

Departure: Friday, January 24th at 5:00pm

Return: Sunday, January 26th around 4:00pm

COST: $230 early bird price

A nonrefundable deposit of $50 is required to hold your spot.

Cost will increase to $245 after November 30th

Cost includes transportation, lodging, entertainment, meals while on camp property and a camp shirt!

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]

Participant Information

Guest Type

Registration Options

Register with full payment ($230.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with deposit of $50 ($230.00)
Deposit is non-refundable .

Participant Name

Date of Birth

Phone

Phone Type

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Phone Type

Parent/Guardian Email

Address is same as participant*

Address

Would you like to cover the 2.5% processing fee?

Total

$0.00

By filling out this form, you are opting in to Young Life communications.
In the future, you will be given the opportunity to manage your communication preferences.

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

Visa
Mastercard
American Express
Discover

Address

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