To assist you in filling out this form, please refer to the guidelines for complete retreat information.  Space is limited. Your registration is complete when you have submitted your registration form and the KSC office has received your full registration fee. Registration closes on the deadline listed in the retreat description, or earlier if capacity is reached. Please mail payment to: KSC 109 Clear Creek Drive, Suite 102, Ashland OR 97520. Credit card payments are not accepted.

If you are applying for Work Exchange or Scholarship, please download and complete the form that is on the retreat information page, and send it to KSC before the due date. 

Cancellation and refund policy: If you are unable to attend this retreat, immediately contact the retreat registrar Laura Parrish at If you cancel your retreat by 1 p.m. on the last day of registration, KSC will refund your payment, minus a $30 handling fee. Cancellations received after this date will not be refunded due to KSC's obligation for the cost of your retreat reservation. 

Buckhorn Springs Retreat Registration

Name *
Address *
Phone *
Today's Date *
Today's Date
Are you a KSC member? *
Is this your first overnight retreat at Buckhorn or with KSC? *
Are you here with a spouse, family member, or friend? *
I am *
I snore *
Emergency Contact *
Emergency Contact
Emergency Contact Day Phone *
Emergency Contact Day Phone
Emergency Contact Night Phone *
Emergency Contact Night Phone
Is your diet:
I need a ride: *
I can give a ride: *
I can assist in transporting materials:
Accommodations request: *
I am applying for
Registration will be complete when the office has received payment in full of the amount of your fee/tuition *