Wyldlife Camp July 29-Aug 2

WHERE: Rockbridge Alum Springs

WHEN: July 29 - Aug 2

Departure: Monday July 29

Return: Friday Aug 2

COST: $749, a deposit of $150 is required to hold your spot.

PLEASE REACH OUT IMMEDIATELY IF YOU WOULD LIKE FUNDRAISING/SCHOLARSHIP INFO.

Deposit nonrefundable after April 1.

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 a deposit ($150) or full payment ($749.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register with alternate deposit ($749.00)
Please choose this option if you would like to reserve your spot with a deposit less than $150.

Participant Name

Date of Birth

Please make sure that the participant birthdate is entered correctly!

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Participant Address

Gender

Additional Comment

Ethnicity

T-shirt Size (ADULT SIZING)

School

Grade

Dietary Restrictions/Additional Comments

Name

Phone

Phone Type

Address is same as participant

Address

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

Total

$0.00

Name

Payment Method

Credit Card

Address