Summer 2025 Template

WHERE: Rockbridge Alum Springs, Goshen VA

WHEN: July 27, 2025 - July 31, 2025

Departure: TBD

Return: TBD

COST: $675, a deposit of $50 paid online is required to hold your spot. The remaining balance can be paid offline

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

Questions and Information

Contact Kara Davenport:

[email protected]

(206) 849-9891

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($675.00)
Please select to make a deposit or full payment below. This will be paid by credit card. This option will also create a payment link for the full balance listed.
Leader Registration ($0.00)
Please select if you are a leader on the trip.

Participant Name

Date of Birth

Participant Phone

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Phone Type

Participant Email

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Participant Address

Gender

Male
Female

Additional Comment

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 2.5% credit card processing fee?

Total

$0.00

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Participant Information

Parent / Guardian Information

Billing Information