Camp Upward Donation Form

Name and Donation

* Prefix:
* First Name:
* Last Name:
Suffix:
* Donation Level: $750 covers the cost for one camper
to attend Camp Upward.

$250 pays for daily healthy snacks for
all campers.

$100 covers transportation costs for all
campers for one field trip.

$50 helps pay for one day of swimming
for all campers.

$25 covers cost for Summer Success
Reading Curriculum for one camper.

$10 covers metro fare for two campers to
travel to and from a local field trip site.

Every dollar counts!

Company (If Applicable)

Company:
Department:
Title:

Contact Information

* Address:
* City:
* State:
* Zip Code: -
* Email:
* Phone:

Dedication

Honor or Memory:
In Honor/Memory of:
Acknowledge To:
Address:
City:
State:
Zip Code: -
Email:
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