Youth Day On-line Registration
Select city:
Oakland
Friday, May 11 &
Saturday, May 12
Oakland Marriott City Center
1001 Broadway
Oakland, CA 94607
School Name
Contact Person
First Name
Last Name
Mailing Address
City
State
Zip Code
Phone (Day)
E-mail
It is important to arrive at your scheduled time in order to process registration materials and to participate in all activities which are on a set schedule.
Please select one group*:
ARRIVAL
DEPARTURE
CHOICE
GROUP A
8:30 AM
12:00 PM
GROUP B
9:00 AM
1:00 PM
GROUP C
9:30 AM
12:40 PM
GROUP D
9:30 AM
1:00 PM
RECESS GROUP
12:30 PM
3:00 PM
If you have none please enter 0.
Total adults
Total children
Total Males
Total Females
Total African American
Total Caucasian
Total Latino
Total Asian
Total American Indian
Total Other
Total 6th Graders
Total 7th Graders
Total 8th Graders
* Please ensure that all students have emergency medical release form and parental permission forms on file with your organization and that you have those with you upon arrival onsite.
Thank you for registering for the Road to Health Expo!
If you have difficulty or problems, please contact Contact Karen Grace-Baker, Youth Day Producer at (323) 936-7671 or by email
rthyouthday@sbcglobal.net
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