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Berachah at Buck Creek Open House - June 8 from 2-5 pm!

     

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Online Registration for CHA Clinics

Only one student per submission.  All registration requests & credit card payments submitted through this website are secured by GeoTrust.  Just complete the required information below and follow the easy steps.  If you do not enter any of the required fields, you must use the BACK button in your web browser to return to this page and fill in the additional information.  (Not using this feature will result in a deletion of all previously entered data.)

  

 

CHA Seasonal Staff Certification Clinic:   May 24-26, 2008 (9am Sat - 5pm Monday)

$40 non-refundable deposit required--manuals will be sent on receipt of deposit and balance must be paid in full on arrival (Limited space available)

Clinic options: 

     $75 includes Clinic, Materials, Lodging and Meals or  (Lodging in Quad, shared bath, 
                bring sleeping bag, towel and personal items) 

     $40 includes Clinic and Meals

  

 

CHA IRD Adaptive Vaulting Skills Clinic:  June 5-6, 2008 (9am Thursday - 5pm Friday)

$50 non-refundable deposit required--materials will be sent on receipt of deposit and balance must be paid in full on arrival (Limited space available)

Clinic options: 

     $200 Full Time (Lodging in Quad, shared bath) 

     $150 Commuter 

 

 
CHA Clinic Information      * required fields
CHA Rider's Last Name*:   First*: MI:  
Street Address*:  
City*:  
State or Province*:                    Zip Code*:  
Home Phone*:  Work Phone: Cell/Pager:  
Name of Sponsoring Camp or Organization:   
Director or Supervisor's Last Name:   First: MI:  
Director or Supervisor's Phone Number:   Cell/Pager:  
CHA Riding Level:

 

  
Please indicate here which clinic you are registering for and include other formal riding instruction and instructor experience:  
Need Airport Pick Up?  
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!

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:

 

 

Provide 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 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 or lessons?  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 

Please let us know how you heard about us:

Please read our registration policy carefully before you 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 minimum non-refundable/non-transferable deposit or payment in full.   You will receive a confirmation letter with your day and time-slot when it is assigned.

PAYMENTS: Non-refundable deposit required--manuals will be sent on receipt of deposit and balance must be paid in full on arrival (Limited space available)

CANCELLATIONS: All cancellations must be made in writing. Send cancellation notice via Email to register@campberachah.org  -  Fax to 253.833.7027 - or by US MAIL to 19830 SE 328th PL Auburn, WA  98092. 

Thank you for registering online for the CHA Clinics.

  

 

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