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Camp Week

Select One Or More Camp Weeks: Week 5: July 3rd – July 7th (4 day week)

Camper Information

Name: Sofia Serra

Age: 8

Grade Going Into: Third grade

School Name: The Conservatory school

Address: 3557 Oleander terrace
Riviera Beach, FL 33404

Parent/Guardian Information

Name: Laura Puentes

Primary Phone: 5615776578

Secondary Phone:

Email: lauraapb1@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