Registered Scholars
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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