Summer 2025 Template

WHERE?
Young Life's ROCKBRIDGE in the heart of the Shenandoah Valley near Lexington, VA.

WHEN?
July 10 - 15, 2025

HOW DO I SIGN UP?
A $200.00 deposit saves your spot!
Deposit is refundable until March 1, 2025

HOW MUCH?
Actual Cost Per Camper: $875*
*Thanks to donations from our supporters, we're able to subsidize the cost this year.

Cost includes transportation on a charter bus, resort lodging, every meal
while at camp, all activities during the week, and a trip t-shirt. Please see below incentives to register early.

Regular Price: $860 (for second-timers & for all campers after March 1st)

Christmas Price: $800 (for first-time summer campers who register between December 8th and 31st!)

Early-Bird Price: $840 (for first-timer summer campers who register before March 1st)

THAT'S A LOT OF MONEY!
Talk to your Young Life leader! We do not want money to be an obstacle!

QUESTIONS?
Contact Chelsea Hugel, Central Fairfax Area Director at:

Chelsea Hugel
10523-B Braddock Road
Fairfax, VA 22032
[email protected]
757-581-2178

After completing this form, a confirmation will be sent with the information you have entered below. We will use the parent email provided to send all future communication about camp.

Participant Information

Guest Type

HIGH SCHOOL

ROBINSON

Registration Options

Register with a deposit or full payment ($860.00)
This is the rate for all second-time summer campers. Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($860.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed. NOTE: We will credit your account for the deposit or full payment once the check is received.
***A check for a $200 deposit must be received to hold your spot. Mail to : Central Fairfax Young Life, 10523-B Braddock Road, Fairfax, VA 22032

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

High School Graduation Year

Dietary Issues/Food Allergies

Young Life's desire is for every person to feel a sense of belonging. Anything you want us to know? Disability or housing needs?

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