Summer 2025 Template

WHERE: Rockbridge

WHEN: July 22-July 26, 2025

Departure: Tuesday, July 22 at 6:00am

Return: Saturday, July 26 at 10:30pm

COST: A deposit of $150 is required to hold your spot

- Camp is $750 total

Money is nonrefundable after March 28, 2025.

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:

P.O. Box 412 Maumee, Ohio 43537

937-408-1781

[email protected]

Participant Information

Guest Type

Registration Options

Register as a camper - ONLINE DEPOSIT ($750.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register as a camper - OFFLINE DEPOSIT ($750.00)
We will credit your account once payment is received. Your spot will not be saved until you have turned your deposit into a leader
Register as a leader ($0.00)

Participant Name

Date of Birth

Participant Phone

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

Phone Type

Participant Email

Opt-in to receive email and text message communications.

You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

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

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