Christian Brothers High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Congratulations! You have been selected to participate in VENAVER.

VENAVER is an immersion experience that offers students opportunities to participate in faith-based experiences in local and global communities. For each VENAVER experience, participants explore faith, community, service learning, social justice and simple living in a safe environment.

*The VENAVER deposit fee is non-refundable if the student changes his/her mind or the spot cannot be filled.

Pay in Full Options

Qty

Description

Amount

Total

VENAVER: El Otro Lado, Tucson, AZ

$700.00

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VENAVER: Yakima, WA

$500.00

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VENAVER: Los Angeles, CA

$400.00

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Deposit Options

Qty

Description

Amount

Total

VENAVER: El Otro Lado, Tucson, AZ

$350.00

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VENAVER: Yakima, WA

$250.00

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VENAVER: Los Angeles, CA

$200.00

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Total: $0.00

Student First Name: *

Student Last Name: *

Driver's License:

(state & #)
Required for VENAVER: El Otro Lado, Tucson, AZ students)

Date of Birth: *

(mm/dd/yyyy)

Last 4 of SSN

(Required for VENAVER: El Otro Lado, Tucson, AZ students)

Parent Name: *

Parent E-mail Address: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *