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Camp Week

Select One Or More Camp Weeks: Week 9: July 31st – August 4th

Camper Information

Name: Everett Robison

Age: 7

Grade Going Into: 2

School Name: Veterans Memorial Elementary

Address: 2246 Campestre Terrace
Naples, FL 34119

Parent/Guardian Information

Name: Alexandra Robison

Primary Phone: 239-595-5264

Secondary Phone:

Email: alexandrarobison1@gmail.com

Relationship To Child: mother

Does Your Child Need a Modification / Accommodation?

Electronic Signature: I agree to send my child to Ocean Kids Camp

Name Of Person(s) Allowed To Pick Up Child

Name Of Person(s) NOT Allowed To Pick Up Child

Payment

Total Cost ($200/Week): 0.00

Scholarship#: OKC23