Camp It Up! - Registration Form

Registration Form

First Name: [required]		Last Name: [required]
Address: [required]		Home Phone:[required] ( )
City: [required]		Work Phone: ( )
Zip code: [required]		Email:[required]

*The CIT program is available to teens entering their sophomore and junior years in high school. Choose CIT (yr 1) or CIT (yr 2) under Age Group below and fees will be automatically calculated.

T-SHIRT SIZES AND COSTS
Child (T only) = $25
Adult (T or tank available) = $27
XXL and up = $30

Please print full names [required] of all children and adults in your family (including yourself).

Name:	Age Group	Child's Birthdate	Date arriving	Date leaving	# of nights	Cost per night Select rate	Camp fees	T-shirt size	T-shirt cost
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Add another person

We are a family.

We prefer a .

We prefer to be in this area: .

We require electricity.

Please, if you are paying by check:
Send ONE CHECK for your family.

Make check payable to Camp It Up! & send to:

Camp It Up!
6745 Moore Drive
Oakland, CA, 94611

Financial Aid Information

Total camp fees	$
Total T-shirt fees	$
Administrative Fee	$ 75.00
Optional contribution to Joanne Garrett Campership Fund	$
3% Online Reg Fee	$
Pre-Registration: Please check box if you have already sent in your deposit	$-300
TOTAL	$