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Camp Week

Select One Or More Camp Weeks: Week 2: June 12th – June 16th

Camper Information

Name: Reagan Hartsfield

Age: 8

Grade Going Into: 3rd

School Name: Grace Classical Academy

Address: 3635 zion park court
naples, fl 34116

Parent/Guardian Information

Name: Davina Hartsfield

Primary Phone: 2398252609

Secondary Phone:

Email: drshartsfield@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