YL Century/Liberty/South Carroll Rockbridge 2019 Summer Trip (June 28- July 3) $695
Please fill out this form completely to register for Century/Liberty/South Carroll Young Life's 2019 Summer Trip to Rockbridge Alum Springs! A $100 deposit is required in order to complete your registration. You may pay for the trip using a credit card, debit card, or online transfer at https://payments.younglife.org/triplink.cfm?TripId=AO7PRWJLC4OC or by clicking the "Pay for Camp" button on the main camp trip page.

*We would prefer for you to make your payment online. But you may turn in a check to your Young Life leader at club or mail a check to the Carroll County Young Life office (55 Ridge Rd / Westminster, MD 21157).

Each camper MUST fill out a Health Form, which can be completed entirely online at http://www.younglife.org/ResourceLibrary/Pages/Resources/6007-Camping-Health-Consent-and-Release-Form.aspx (AREA NUMBER IS MD32). You MUST fill out every section of the Health Form, including the section on "Immunizations". A physician's signature is NOT required for our trip.

First Name *
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Last Name *
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Street Address *
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City, State, Zip *
*Please include ALL!
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Gender *
School/Club you Attend *
Grade in 2018-2019 School Year *
Camper Cell Phone *
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Camper Email *
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Parent/Guardian First and Last Name *
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Parent/Guardian Email Address *
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Parent/Guardian Cell Phone # or Home Phone # *
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Adult T-Shirt Size *
If you are a second-timer camper to YL summer camp, you must bring at least two first-time campers with you. If you are a second-timer, please list the names of the friends you are trying to bring to camp!
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