Donations
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Adopt a Child
Camp O'Hana
Operation Good Cheer

Training Workshops
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Referrals
Referral Process
Referral Form

Contact us

Events
Tour Da U.P.
Concerts
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Press Releases

Job Opportunities
Current openings

Tour Da UP | Last Year's Tour | Da Route | Become a Sponsor | BYOB Recruitment | The Golden Butt | Sponsors | Contact Us

-On-Line Registration-

One form per person - valid for the August 3-7, 2008 tour.

First Name	Last Name	Age	Sex
			M F

Daytime Phone #	E-mail

Street Address

City	State	Zip
	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachussettes Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New England New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington, DC Washington West Virginia Wisconsin Wyoming

Emergency Contact Person & Phone #

Please credit my participation to the  following BYOB Recruiter

Calculate Payment
Registration Fee, before June 15th		$375.00
Youth Scholarship Discount (for ages 11-16)		($-50.00)
Youth Scholarship Discount (for ages 5-10)		($-100.00)
Short Sleeve T-Shirts Small Medium Large X Large XX Large XXX Large		included in registration fee
Late Registration, after June 15th		Add: $25.00
		Total Amount Due
		$

Method of Payment
	Pledges, to be turned in by July 1st.    (Pledge forms will be sent to you.)
	Check
	Mastercard
	Visa

Credit Card #	Exp. Date

* NO REFUNDS AFTER JULY 1ST.*

Please submit form and, if applicable, mail check payable to: