Welcome to the Beautiful Pacific Northwest

                      

 
Summer Camps Still Available!  Register Now!

     

Secured Site

Thank you for choosing Camp Berachah! You can submit your registration requests & credit card payments for any Adult or Family Life events through this on-line process.  All registration requests & credit card payments are secured by GeoTrust.  Registering on-line is easy.  Just follow the steps ....  

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Step 1:  Attendee Information ... * required fields
Last Name*: First*: MI:  
Birthday (MM/DD/YY):                                            Gender*:

Spouse/Child 

Last Name (if attending):

                   First:
Birthday (MM/DD/YY):                                        Gender:
Home Phone*:         Work Phone:   Cell/Pager:
Street Address*:
City*:    State/Province*:  Zip+4*:
Email: 

Please enter your email address for confirmation that we received your request.  If you would like to opt out of future email notifications of news and events, mark the box below. Thank you!
Names of additional attending family members: (Last, First) 
Total in Party:
How did you hear about us*:
Church Attending:
Roommate Request: (for adult conferences)
Emergency Contact:
Emergency Phone: 

Step 2:  Select Your Sessions...  
(Multiple Selections allowed - hold CTRL while selecting)
Adult & Family Life Events
Additional Notes or Comments

Release Statement:  Please read the following...  

"I give permission for Camp Berachah to use any photo or video of my family in publications.  I release my right to any kind of remuneration for said photos."    If you agree, please type your initials here:

 

Step 3:  Provide us with your Payment Information

All online registrations require a credit card to process.  

Amount Paying*: Card Type*:

                                                                          Only VISA, MC & DISCOVER (choose one)

Please enter 3 digit verification number from the back of your card - thanks:

Card Number*:  Card Expires *(MM/YY):

              format:   xxxx-xxxx-xxxx-xxxx

Name on Card*:       

AUTO CHARGE:  Would you like us to automatically charge the balance on your credit card 14 days before the camp session begins?  Choose your answer*:

CAMPER SCHOLARSHIP FUND.  Would you like us to charge your card an additional amount to help someone else have the opportunity to attend camp?  Enter that amount here.    (A tax deductible donation receipt will be mailed to you within 30 days). Thank You!

If you do not want to receive email notification of Camp Berachah activities please initial here 

Step 4:  Please read the details & then submit your request...

  • Online registrations are subject to space availability and cannot be processed without accompanying credit card information authorizing payment of either the required nonrefundable/nontransferable minimum deposit $35 (per event) or payment in full. 

  • Registrations, Payments or Cancellation requests received within 14 days of the start of a session are considered late and are subject to a $20 late processing fee.

  • All cancellation must be made in writing either by mail,   e-mail or fax at (253) 833-7027.  

     

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