Summer 2025 Template

Come join hundreds of middle school students for the most amazing and wyld week of your life!

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

WHEN?

July 17 -21, 2025

HOW DO I SIGN UP?
A $100.00 deposit saves your spot! Cost is 729.00
*Deposit is refundable until March 1, 2025

Cost includes transportation on a charter bus, resort lodging, every meal
while at camp, all activities during the week, and a trip t-shirt.

QUESTIONS?
Contact Alex Todd, DC WyldLife Staff

[email protected]
940-232-5807

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

Registration Options

Register with a deposit or full payment ($729.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($729.00)
To register without credit card information, select the $0 deposit option. This option will also create a payment link for the full balance listed. Your spot will not be saved until the $200 deposit is received.

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

Dietary Issues/Food Allergies

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