2023 Raise UP2 Rise Summer Camp Registration
Summer Camp (ages 4 to 12)
Dates: Monday, July 3 to Friday, August 11, 2023 (closed July 4th) 
Times: 8:30AM-4:00PM (Before Care: 7:30-8:30am and After Care: 4:15-5:30PM)

Location: Downtown Cultural Arts Center, 401 N. Howard Street, Baltimore, MD 21201 

Please visit our website at raiseup2rise.org and/or contact us at (443) 929-1340 or raiseUP2rise@gmail.com for more information

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Email *
Youth Full Name *
Age *
Date of Birth *
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YYYY
T-Shirt Size *
FOR ALL YOUTH -- Select One or more *
Required
What dates will youth attend? (Check all the apply) *
Required
Parent/Guardian Name *
Parent Primary Email Address *
Parent Primary Phone Number *
Parent Alternate Phone Number *
Mailing Address (Address, City, State and Zip Code) *
Youth Gender *
Youth Race
Youth Ethnicity
Youth Current School Name and Address *
Youth Grade in Fall 2023 *
Required
Annual Family Income (per household) *
Family Size (per household) *
How will you pay the registration fee? ***Registration fee due at time of registration*** *
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