YLC Fall Weekend 2026

WHERE: Rockbridge Alum Springs | Goshen, Virginia

WHEN: October 2rd-4th 2026

Departure: Friday at 3:30pm

Return: Sunday at 5:30pm

COST: $190

A non-refundable deposit of $75 holds your spot. 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:

Dan Bender - Area Director

[email protected]

Participant Information

Guest Type

Registration Options

Register with a $75 deposit or full payment ($190.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$0 Deposit ($190.00)
To register without credit card information, select cash/check/offline. This option will also create a payment link for the full balance listed.
Leader/Staff Registration ($0.00)

Participant Name

Date of Birth

Phone

Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

Year in School

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

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Phone Type

Parent/Guardian Email

Address is same as participant

Address

Would you like to cover the 2.5% processing fee?

Total

$0.00

By filling out this form, you are opting in to Young Life communications.
In the future, you will be given the opportunity to manage your communication preferences.

Coupon Code

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Offline

Credit Card

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American Express
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Address

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