Summer Camp Health Form

 

Fill out the online health form by March 1st and receive a discount towards your trip!

$50 off the High School Lake Champion trip!

$40 off the High School Rockbridge trip!

$30 off the Wyldlife Crossroads trip, Younglives Carolina Point trip, and Capernaum Rockbridge trip!


Click Here to go to our online health form page. If you have previously filled out a health form you simply need to log in and create a new form. If you are new, you will need to create a username and password.

Use the camper's name in the camper/guest section.

In 'Select Young Life Area': Search area VA 21 and select VA 21 - Harrisonburg/Rockingham. (not JMU AG321 - a mistake many make)

Guest Type: Camper

Camp: select the camp your school plans to attend this summer.

Session Week: Select the specific dates of your camp.


If you are unable to complete a form online you can print them by clicking the file below. Remember we need all dates, signatures and insurance information.

Camping Health Consent and Release Form (YL-6007).pdfCamping Health Consent and Release Form (YL-6007).pdf

Camping Health Consent and Release Form - Spanish (YL-6007S).pdfCamping Health Consent and Release Form - Spanish (YL-6007S).pdf

 

 

 

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Address

Young Life Harrisonburg/Rockingham | PO Box 1433 Harrisonburg, VA 22803-1433

Phone: (540)434-5806

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