PittCo YL - Summer Camp 2025

WHERE: Rockbridge Young Life Camp in Goshen, VA

WHEN: June 09, 2025 - June 14, 2025

Departure: Monday, June 9th. Departure time will be solidified closer to the date.

Return: Saturday, June 14th. Return time will be solidified closer to the date.

COST: $800, a deposit of $50 is required to hold your spot.

Money is nonrefundable after March 28th.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Ben Paris at:

[email protected]

(434) 607-2555

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($800.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($800.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Summer Camp

Rockbridge

Participant Name

Date of Birth

Participant Phone

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Participant Address

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School

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Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Total

$0.00

PittCo Young Life - Rockbridge Summer Camp 2024

Participant Information

Parent / Guardian Information

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