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Camp Week

Select One Or More Camp Weeks: Week 1: June 5th – June 9th, Week 2: June 12th – June 16th, Week 3: June 19th – June 23rd, Week 4: June 26th – June 30th, Week 5: July 3rd – July 7th (4 day week), Week 6: July 10th – July 14th, Week 7: July 17th – July 21st, Week 8: July 24th – July 28th, Week 9: July 31st – August 4th

Camper Information

Name: Jackson Williams

Age: 13

Grade Going Into: 8

School Name: Gulfview Middle School

Address: 6681 Marbella Ln
Naples, FL 34105

Parent/Guardian Information

Name: Tim Billings

Primary Phone: 12394361904

Secondary Phone: 2392009904

Email: tjbillings@comcast.net

Relationship To Child: Grandfather

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