Online Registration for Adult & Family Events

Please complete the required information below.  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.)

Please make note of the following registration policies:

  • Online registrations are subject to space availability and cannot be processed without accompanying credit card information authorizing payment of either the required nonrefundable minimum deposit $35* (per event) or payment in full.  (*Please note:  Parent/Child Trail Rides require payment in full at time of registration.)
  • CONFIRMATIONS:  Look for your confirmation notice via email within 14 days.  If you do not receive a confirmation 2 weeks after you have registered, please contact our office to verify we received your registration.

  • CHANGES/CANCELLATIONS: All changes and cancellations must be made in writing.   Send  notice via Email to register@campberachah.org  -  Fax to 253.833.7027  -  or by US MAIL to 19830 SE 328th PL Auburn, WA  98092.  Any approved refund amounts will be issued within 30 days of cancellation notice. 

Attendee Information:
(* indicates required fields)  
secured site    
  Last Name:*
First: Name*
 MI:
  Birthday (MM/DD/YY)
 Gender:*
  
  Spouse or child last name:*
 First Name:*
  
  Birthday (MM/DD/YY0:*
 Gender:*
  
  Home phone:*
 Work phone:
  
  Cell/Pager:
    
  Street Address:*
  City:*
 State:*
Zip:*
 

Email:* (required for confirmation)

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 and ages of additional attending family members: (Last, First, Age):

 Total in party:
  Church Attending:
 

Roommate requests:

(For adult conferences)

  Emergency Contact Name:*
  
  Emergency phone:*
  How did you hear about us?
  If you do not want to receive email notification of Camp Berachah activities please initial here 
 

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:*

 

Select Your Session(s):

Adult Events

Scroll down to make your selection for Adult Events 

(Multiple Selections allowed, hold CTRL while selecting)

  

Family Life Events

Scroll down to make your selection for Family Life Events

(Multiple Selections allowed, hold CTRL while selecting) 

 

  

Additional Registration Notes or Comments:

     

After submitting this registration information,
you must make a payment to complete the process.

If you did not enter any of the required fields, you must come BACK and complete.
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