Summer 2025 Template

WHERE: Rockbridge

WHEN: July 27, 2025 - July 31, 2025

Departure: Sunday, July 27th

Return:Thursday, July 31st

COST: $ 595, a deposit of $ 200 is required to hold your spot.

Money is nonrefundable after March 3rd.

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

Questions and Information

Contact Ashley Kiser at [email protected]

Participant Information

Guest Type

Registration Options

Register with a deposit or full payment ($595.00)
Please select to make a deposit or full payment below. This will be paid by credit card.
Register with an offline payment/$200 deposit ($595.00)
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

Date of Birth

Participant Phone

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Phone Type

Participant Email

Opt-in to receive email and text message communications.

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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

Total

$0.00

Participant Information

Parent / Guardian Information

Billing Information