Name
Date of Birth
Name
Email
Phone
Address
Name (Contact 1)
Phone
Name of second child
Date of Birth (second child)
Current School Grade
Do 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)
Isabella Gargiulo
1/18/2017
Kelly Gargiulo
kelly@kellygargiulo.com
+19252861641
635 Rock Oak Road Walnut Creek, CA 94598 US
Kelly Gargiulo
(925) 286-1641
Kindergarten
No
I am unable right now but please send me more information.
Isabella Gargiulo
1/18/2017
Kelly Gargiulo
kelly@kellygargiulo.com
+19252861641
635 Rock Oak Road Walnut Creek, CA 94598 US
Kindergarten
No
I am unable right now but please send me more information.
Milo LaGuardia
4/13/2016
Natalie LaGuardia
natalieratalie@gmail.com
+16614773812
214 Deer Path Court Martinez, CA 94553 US
Natalie LaGuardia
(661) 477-3812
Eva Shell
2/16/2015
First Grade
No
I am unable right now but please send me more information.
Session 7 - July 25-July 28 - $ 948.10
Milo LaGuardia
4/13/2016
Natalie LaGuardia
natalieratalie@gmail.com
+16614773812
214 Deer Path Court Martinez, CA 94553 US
Eva Shell
2/16/2015
First Grade
I am unable right now but please send me more information.
Session 7 - July 25-July 28 - $ 948.10
Quinn Schlunt
2/24/2014
Cari Ann Schlunt
cariann32@gmail.com
+17072080806
39 Kingston Place Walnut creek , CA 94597 US
Cari Ann Schlunt
(707) 208-0806
Third Grade
No
No thanks.
Cade Kuchen
7/24/2013
Kelly Kuchen
kelly.kuchen@gmail.com
+14157225052
292 birchwood drive Moraga, CA 94556 US
Kelly Kuchen
(415) 722-5052
Finley Kuchen
10/11/2015
Fourth Grade
Yes
I am unable right now but please send me more information.
Session 7 - July 25-July 28 - $ 948.10
Adeline Gargiulo
1/18/2017
Kelly Gargiulo
kelly@kellygargiulo.com
+19252861741
635 Rock Oak Road Walnut Creek, CA 94598 US
Kelly Gargiulo
(925) 286-1641
Kindergarten
No
I am unable right now but please send me more information.
Keaton Ochoa
3/19/2014
Ginn Earls
ginniferearls@gmail.com
+15103047643
1759 Greenbush Ct Concord, CA 94521 US
Ginn Earls
(510) 304-7643
Third Grade
No
No thanks.
Addison Rydman
10/4/2012
Whitney Rydman
whitneyrydman@gmail.com
+19254517002
817 Parkway Drive Martinez , CA 94553 US
Joel Rydman
(707) 373-6459
Fourth Grade
No
No thanks.
Melody Bruce
2/3/2011
Jessica Bruce
jbruce8809@gmail.com
+19258497355
4 Truitt Ave Martinez, AL 94553 US
Jessica Bruce
(925) 849-7355
Berrick Bruce
7/12/2014
Sixth Grade
No
No thanks.
Session 6 - July 18-21 - $ 948.10 Session 7 - July 25-July 28 - $ 948.10
Bailey Thomas
10/20/2015
Erika Thomas
erika_spoon@yahoo.com
+15106918574
1742 Highland circle Fairfield, CA 94534 US
Erika Thomas
(510) 691-8574
Kindergarten
No
No thanks.
Abby Leichtner
4/16/2014
Susan Leichtner
susan.leichtner@gmail.com
+14154307625
1500 Elise Court Walnut Creek, CA 94596 US
Susan Leichtner
(415) 430-7625
Third Grade
Yes
No thanks.
Noah Zambrano
3/10/2013
Maricela Zambrano
maricelazam@gmail.com
+15104397168
4747 Canyon Rd El Sobrante, CA 94803 US
Ezra Zambrano
12/3/2014
Third Grade
No
No thanks.
Session 6 - July 18-21 - $ 948.10
Noah Zambrano
3/10/2013
Maricela Zambrano
maricelazam@gmail.com
+15104397168
4747 Canyon Rd El Sobrante, CA 94803 US
Ezra Zambrano
12/3/2014
Third Grade
No
No thanks.
Session 6 - July 18-21 - $ 948.10
Andrew Chin
4/4/2012
Kristine Chin
chin.kristine@gmail.com
+19252899941
147 Kelobra Ct Walnut Creek , CA 94598 US
Aaron Chin
5/19/2014
Fourth Grade
Yes
No thanks.
*Session 8 - August 1 - August 4 - $ 948.10
Andrew Chin
4/4/2012
Kristine Chin
chin.kristine@gmail.com
+19252899941
147 Kelobra Ct Walnut Creek , CA 94598 US
Aaron Chin
5/19/2014
Fourth Grade
Yes
No thanks.
*Session 8 - August 1 - August 4 - $ 948.10
Hadley Perera
8/22/2013
Nisan Perera
nisanperera@gmail.com
+19258761220
6821 Thornhill Drive Martinez, CA 94611 US
Marcelle Perera
(831) 566-4731
Calder Perera
7/21/2016
Fourth Grade
No
I am unable right now but please send me more information.
Session 6 - July 18-21 - $ 948.10 Session 7 - July 25-July 28 - $ 948.10
Noah Zambrano
3/10/2013
Maricela Zambrano
maricelazam@gmail.com
+15104397168
4747 Canyon Rd El Sobrante, CA 94803 US
Third Grade
No
No thanks.
Session 6 - July 18-21 - $ 474.05 Session 7 - July 25-July 28 - $ 474.05
Wyatt Zorn
11/12/2014
Brianne Zorn
hikaribri@gmail.com
+12064655055
904 Brown Street Martinez, CA 94553 US
Beianne Zorn
(206) 465-5055
Second Grade
No
I am unable right now but please send me more information.
Eleanor Maran
7/10/2013
Amanda Maran
amandamagoo@gmail.com
+18312397359
6038 skyline blvd Oakland, CA 94611 US
Amanda Maran
(831) 239-7359
Fourth Grade
Yes
I am unable right now but please send me more information.
Session 6 - July 18-21 - $ 474.05 Session 7 - July 25-July 28 - $ 474.05
Eleanor Maran
7/10/2013
Amanda Maran
amandamagoo@gmail.com
+18312397359
6938 skyline blvd Oaklad, CA 94611 US
Amanda Maran
(831) 273-7359
Fourth Grade
No
I am unable right now but please send me more information.
Session 6 - July 18-21 - $ 474.05 Session 7 - July 25-July 28 - $ 474.05
Andie Wiskerson
4/11/2011
Danielle Wiskerson
mrswisky@gmail.com
+15108120307
5001 Fedsco Dr Concord, CA 94521 US
Danielle Wiskerson
(510) 812-0307
Sixth Grade
No
No thanks.
Andie Wiskerson
4/11/2011
Danielle Wiskerson
mrswisky@gmail.com
+15108120307
5001 Fedsco Dr Concord, CA 94521 US
Danielle Wiskerson
(510) 812-0307
Sixth Grade
No
No thanks.
Andie Wiskerson
4/11/2011
Danielle Wiskerson
mrswisky@gmail.com
+15108120307
5001 Fedsco Dr Concord, CA 94521 US
Danielle Wiskerson
(510) 812-0307
Sixth Grade
No
No thanks.
Emersyn Diaz
11/24/2014
Wendy Diaz
wmodiaz@gmail.com
+15308489449
277 Crestview Avenue Martinez, CA 94553 US
Wendy Diaz
(530) 848-9449
Second Grade
Yes
I am unable right now but please send me more information.
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