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Camp Week

Select One Or More Camp Weeks: Week 7: July 17th – July 21st

Camper Information

Name: Mason Solem

Age: 11

Grade Going Into: 7th

School Name: Gulfview middle

Address: 678 Cold stream court
Naples, FL 34104


Parent/Guardian Information

Name: Amanda Solem

Primary Phone: 2395722582

Secondary Phone:

Email: msolem1027@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