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Camp Week

Select One Or More Camp Weeks: Week 3: June 19th – June 23rd

Camper Information

Name: Gavin Moore

Age: 10

Grade Going Into: 5

School Name: Homeschool

Address: 2003 NE 40th Rd
Homestead, FL 33033

Parent/Guardian Information

Name: Julia Moore

Primary Phone: 2242327057

Secondary Phone: 2242327160

Email: juliamoore28@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