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Camp Week

Select One Or More Camp Weeks: Week 4: June 26th – June 30th

Camper Information

Name: Luke Miles

Age: 7

Grade Going Into: 2

School Name: Waves of Wonder Montessori School

Address: 17780 Oakmont Ridge Circle
Fort Myers, FL 33967

Parent/Guardian Information

Name: Andrea Miles

Primary Phone: 5594088484

Secondary Phone:

Email: amcorona7@yahoo.com

Relationship To Child: Mom

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