Summer 2025 YoungLives Template

WHERE: Rockbridge

WHEN: July 6 - 9, 2025
Departure: Sunday morning, July 6
Return: Wednesday evening, July 9
Exact times communicated closer to the trip.

COST: $50 A deposit of $25 to be paid when you register (non-refundable after 5/31)
(no cost for babies/children)
FINAL BALANCE DUE BY JUNE 20.

Be sure to keep the confirmation email sent to parent/guardian which has your "personalized payment link" to use for payment of your balance.

Questions and Information
Cynthia Greer (YoungLives Team Leader): [email protected] 336-260-6118

or the Young Life Office at: younglifef [email protected] 336-725-1750
2601 Pilgrim Court, Ste 110, Winston-Salem, NC 27106

Guest Type

Are you bringing a child?

Registration Options

Register with a deposit or full payment ($50.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/0 deposit ($50.00)
ONLY Select if financially unable to pay the deposit NOW. Please pay within 2 weeks of registering.

Participant Name

Date of Birth

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 Address

Gender

Male
Female

Ethnicity

Other Languages Spoken

T-shirt Size (adults only)

High School Graduation Year

Additional Comments

Parent / Guardian Information

Fill out the following parent/guardian information for the participant you are registering above.

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Parent/Guardian Address

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.

Parent / Guardian Information

Billing Information