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)
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.
Claude Mizne
4/22/2009
Bar Kastershtain-Mizne
cooperseyes@gmail.com
+17815709909
2703 Lariat Ln Walnut Creek, CA 94596 US
Amiram Mizne
(781) 548-9896
Dekel Mizne
1/12/2013
Sixth Grade
No
No thanks.
Session 7 - July 25-July 28 - $ 948.10
Emersyn Diaz
11/24/2014
Wendy Diaz
wmodiaz@gmail.com
+15308489449
277 Crestview Avenue Martinez, CA 94553 US
Second Grade
Yes
I am unable right now but please send me more information.
Nia Esparrago
9/28/2011
Kitty Aquino-Esparrago
mattandkitty@gmail.com
+15109101985
1 Miranda Court Alameda, CA 94502 US
Kitty Aquino-Esparrago
(510) 910-1985
Fifth Grade
Yes
No thanks.
Nia Esparrago
9/28/2011
Kitty Aquino-Esparrago
mattandkitty@gmail.com
+15109101985
1 Miranda Court Alameda, CA 94502 US
Kitty Aquino-Esparrago
(510) 910-1985
Fifth Grade
Yes
No thanks.
Lucas Edwards
7/12/2011
Ericka Edwards
boogiebears@ymail.com
+15107069378
1579 Ruth Dr Pleasant Hill, CA 94523 US
Ericka Edwards
(510) 706-9378
Julia Edwards
5/4/2014
Fifth Grade
No
I am unable right now but please send me more information.
Session 4 - June 27-June 30 - $ 948.10
Olivia Usher
12/30/2014
Jennifer Usher
jenmanos@gmail.com
+14154120181
1230 Davis Ave Concord, CA 94518 US
William Usher
(916) 869-5785
James Usher
2/14/2017
Second Grade
No
No thanks.
*Session 8 - August 1 - August 4 - $ 948.10
Sebastian Balogh
2/21/2015
Anna Balogh
anbalogh@gmail.com
+19252841709
6517 Longwood Court Martinez , CA 94553 US
Anna Balogh
(925) 284-1709
Second Grade
Yes
No thanks.
LJ Scalese
12/4/2014
Alyssa Scalese
ascalese8@gmail.com
+14694861283
158 Glenview Dr Martinez , CA 94553 US
Alyssa Scalese
(469) 486-1283
Second Grade
No
No thanks.
Karina Roa
6/12/2013
Katye Roa
katye.roa@gmail.com
+15103033948
2641 Box Canyon Road Pinole, CA 94564 US
Katye Roa
(510) 303-3948
Isabella Roa
1/19/2016
Third Grade
No
No thanks.
Session 5 - July 11-July 14 - $ 948.10
Karina Roa
6/12/2013
Katye Roa
katye.roa@gmail.com
+15103033948
2641 Box Canyon Road Pinole, CA 94564 US
Katye Roa
(510) 303-3948
Isabella Roa
1/19/2016
Third Grade
No
No thanks.
Session 5 - July 11-July 14 - $ 948.10
Enzo Avila
5/20/2014
Adriana Avila
apochini@hotmail.com
+15109082148
5278 S. Montecito Dr Concord, CA 94521 US
Adriana Avila
(510) 908-2148
Third Grade
No
No thanks.
Cora Vida Wright Meneses
5/1/2017
Monica Meneses
moni.mene@gmail.com
+15105024402
1510 Azalea Ave. Martinez, CA 94553 US
Jonathan Wright
(510) 213-1353
Kindergarten
No
I am unable right now but please send me more information.
Lucas Edwards
7/12/2011
Ericka Edwards
boogiebears@ymail.com
+15107069378
1579 Ruth Dr Pleasant Hill , CA 94523 US
Ericka Edwards
(510) 706-9378
Julia Edwards
5/4/2014
Fifth Grade
No
I am unable right now but please send me more information.
Session 4 - June 27-June 30 - $ 948.10
Lucas Edwards
7/12/2011
Ericka Edwards
boogiebears@ymail.com
+15107069378
1579 Ruth Dr Pleasant Hill , CA 94523 US
Ericka Edwards
(510) 706-9378
Julia Edwards
5/4/2014
Fifth Grade
No
I am unable right now but please send me more information.
Session 4 - June 27-June 30 - $ 948.10
Vaughn Metcalf
6/10/2014
Cassandra Frantz
cassandrafrantz@gmail.com
+12673258515
5044 Netto Dr Concord, CA 94521 US
Cassandra Frantz
(267) 325-8525
Third Grade
No
No thanks.
Lila Williams
6/6/2014
JEnnifer Stout
jstout@calalum.org
+14152448920
317 Vista Way Martinez, CA 94553 US
Jennifer Stout
(415) 244-8920
Third Grade
No
No thanks.
Somya Prakash
12/18/2015
Nirmala Prakash
ndramlakhan@gmail.com
+14077335824
2662 Buena Vista Ave Walnut Creek, CA 94597 US
Raj Prakash
(305) 775-0011
First Grade
No
No thanks.
Jacob Bonilla
1/25/2015
First Grade
Maya Savage
7/17/2013
Janine Monson
msmsw@sbcglobal.net
+19253561226
5024 Thatcher Drive Martinez, CA 94553 US
Janine Monson
(925) 356-1226
Fourth Grade
No
No thanks.
Lorelai (Rory) Bass
8/3/2014
Lynn Bass
lynnjhbass@gmail.com
+19252851695
701 Shady Glen Martinez , CA 94553 US
Jeremiah Bass
(925) 360-4436
Alex Bass
11/15/2016
Second Grade
Yes
No thanks.
Session 2 - June 13-16 - $ 948.10
Aubrey Lemos
1/18/2015
Arista Lemos
arista_frick@yahoo.com
+16507038275
209 Elderwood Dr. Pleasant Hill, CA 94523 US
Jeremy Lemos
(415) 760-1262
Second Grade
No
No thanks.
Brooklyn Sinosky
4/17/2016
Courtney Sinosky
cflaner@gmail.com
+19253245578
2005 Center Ave martinez, CA 94553 US
First Grade
No
No thanks.
Lillian Myers
8/17/2010
Erin Myers
myerserink@gmail.com
+19259513533
2339 Lariat Lane Walnut Creek, CA 94596 US
Erin Myers
(925) 951-3533
Fifth Grade
No
No thanks.
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