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Camp Week

Select One Or More Camp Weeks: Week 6: July 10th – July 14th

Camper Information

Name: Logan Gerace

Age: 9

Grade Going Into: 4th

School Name: Laurel oak

Address: 3263 Tahoe court
Naples, FL 34119


Parent/Guardian Information

Name: Channa Gerace

Primary Phone: 9144477699

Secondary Phone: 9146294842

Email: chandd4@aol.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