NameDate of BirthNameEmailPhoneAddressName (Contact 1)PhoneName of second childDate of Birth (second child)Current School GradeDo any of your registrants have any allergies, chronic illness, or medical conditions?Are you interested in sponsoring a child to come to CAMP SHINE?Morning Summer Sessions ($474.05 per session per child reflects 5% discount)Morning Summer Sessions ($948.10 per session for 2 children reflects 5% discount)Morning Summer Sessions ($1896.20 per session for 4 children reflects 5% discount)
Wyatt Klopp-Niemi
11/17/2014
John Klopp
klopp@pacbell.net
+14158612171
1300 Merrithew Dr Martinez, CA 94553 US
John Klopp
(415) 861-2171
First Grade
No
No thanks.
*Bonus Session - May 31 - June 3 - $ 424.15 Session 1 - June 6-June 9 - $ 424.15 Session 3 - June 20-June 23 - $ 424.15 Session 4 - June 27-June 30 - $ 424.15 Session 5 - July 11-July 14 - $ 424.15 Session 6 - July 18-21 - $ 424.15
Perri Hutchins
6/19/2012
marni hutchins
marnidyer@hotmail.com
+19252607043
232 NETHERBY PL Pleasant Hill, CA 94523 US
David Hutchins
(925) 286-4684
Marlowe Hutchins
6/2/2015
Fourth Grade
No
No thanks.
Session 3 - June 20-June 23 - $ 848.30
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