GUEST SERVICE AND INFORMATION
170 Spring House Rd
Goshen, VA 24439
540-997-9276
540-997-0042 – FAX
(Information must be received two weeks prior to trip date.
Please call 5 days before trip date to finalize numbers.)
http://rockbridge.younglife.org
TRIP INFORMATION
Trip Dates – from
GROUP SIZE
Campers &
Leaders
to
Group Name
___________________________________________
Staff
Camp Manager
___________________________________________
Adult Guests
Office Phone
____________________
Dr. & Family
Cell Phone
____________________
Work Crew
___________________________________________
Lifeguards
Ropes
Operators
E-Mail Address
Arrival Times
Staff/Prog. Arrival
____________________
Camper Arrival
____________________
Work Crew Arrival
TRIP TOTAL
____________
STAFF
Please list the names of all staff members for your trip. *Indicates required staff positions.
Camp Speaker: _____________________________
Program Director: _____________________________
*Work Crew Boss & Phone #: _____________________________
Program Assistant: _____________________________
Work Crew Boss Assistant(s): _____________________________
*Program Tech: _____________________________
Head Leader: _____________________________
*Dr./EMT/Nurse _____________________________
HOUSING – One Dorm is available for every 65 people. Completed cabin rosters are required 3
days before arrival. Please check the housing that your group requires.
Blue Ridge
(74)
Cottage Left
Piney Ridge
(90)
Cottage Right
Timber Ridge
(78)
Alum Lodge (6 rooms)
Miner’s Mtn
(74)
Waltons Mountain (10 Rooms)
Stonewall Mtn
(74)
Fiddler Mtn
(90)
House Mtn
(54)
House Mtn. Apt
(4)
North Mt
(Typically used
for Work Crew)
(54)
North Mtn. Apt.
(4)
LINENS (towel, 2 sheets, pillow case)
YES
NO
(2-4)
(2-4)
# of rooms
needed
# of rooms
needed
________
________
GUEST SERVICE AND INFORMATION
(Information must be received two weeks prior to trip date.
Please call 5 days before trip date to finalize numbers.)
SCHEDULE
Please send a copy of your program schedule along with this completed form so we will be better able to provide
for your needs. If we do not have a schedule two weeks prior to trip date, we reserve the right to set meals and
times. Friday night Snack/Meal must be approved by the Food Service Manager in coordination with the Work
Crew arrival time.
MEAL SCHEDULE
Please write meal name along with mealtime, i.e. “Pancakes@8:30” Unless otherwise noted, number to be served will be your trip total.
Day/Date
Breakfast
Brunch
Lunch
Dinner
Snack
ACTIVITIES
Day/Date
Store
Snack Bar
Ropes ride maximum capacity:
Zip Line ride maximum capacity
Water Slide:
Pool:
Hot Tub:
Ropes
Climbing
Tower
Zip Line
25 people/hour (daylight hours only)
(Requires air temperature + water temperature =100 deg. F)
(Available May through September)
Available May through September
Available year round
SPECIAL NEEDS (Dietary, Program, etc.)
Please explain:
______________________________
(Signature of Camp Director)
Blob
(Date)
Water
Slide
Pool / Hot
Tub