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Camp Week

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

Camper Information

Name: Grant Dube

Age: 13

Grade Going Into: 8th

School Name: Waves of wonder Montessori

Address: 3304 Pilot Cir
Naples, Fl 34120

Parent/Guardian Information

Name: Nicole Dube

Primary Phone: 2392874046

Secondary Phone:

Email: nicoledube@me.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