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Camp Week

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

Camper Information

Name: Claire Mulholland

Age: 12

Grade Going Into: 8

School Name: Oakridge Middle

Address: 4711 Abaca Cir
Naples, FL 34119-9828

Parent/Guardian Information

Name: Megan Mulholland

Primary Phone: 2393485024

Secondary Phone:

Email: meganp21@msn.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