Summer 2025 Template

WHERE: Rockbridge Alum Springs

WHEN: June 09, 2025 - June 14, 2025

COST: A $50 is required to hold your spot.

We will leave early on June 9th and return home very late on June 14th, more details to come closer to camp!

Deposit non-refundable after March 30th, 2025.

After completing this form, a confirmation will be sent with the information you have entered below. Please keep the confirmation email to make future payments!

Questions and Information

Contact your team leader!

Lafayette: Jay Biship (859) 537-0312 | [email protected]

Bryan Station: Amanda Hubler (859) 420-0912 | [email protected]

Participant Information

School

Registration Options

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Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit

Participant Name

Date of Birth

Participant Phone

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Participant Address

Gender

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Additional Comment

Ethnicity

T-shirt Size

Grade

Additional Comments

Parent / Guardian Information

Parent/Guardian Name

Parent/Guardian Phone

Phone Type

Parent/Guardian Email

Address is same as participant

Address

Participant Information

Parent / Guardian Information

Billing Information