Capernaum Camp 2027

WHERE: Rockbridge Alum Springs Young Life Camp

WHEN: August 06, 2027 - August 10, 2027

Departure: August 6th @ 7am

Return: August 10th @ 7pm

COST: $900, a deposit of $100 is required to hold your spot.

Money is nonrefundable after April 1st.

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:

RockBridge Website

Dan Bender - [email protected]

PO Box 321, Lemont, PA 16851

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($900.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 deposit ($900.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.

Participant Name

Participant Date of Birth

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Participant Address

Gender

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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 3.0% credit card processing fee?

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information