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)
Wyatt Zorn
11/12/2014
Brianne Zorn
hikaribri@gmail.com
+12064655055
904 brown street Martinez, CA 94553 US
Brianne Zorn
(206) 465-5055
First Grade
No
I am unable right now but please send me more information.
Jayla Powell
Bailey Thomas
10/20/2015
Erika Thomas
erika_spoon@yahoo.com
+15106918574
605 Heald Court Crockett, CA 94525 US
Erika Thomas
(510) 691-8574
Kindergarten
No
No thanks.
Claude Mizne
4/22/2009
Bar Kastershtain-Mizne
cooperseyes@gmail.com
+17815709909
2703 Lariat Ln Walnut Creek, CA 94596 US
Bar Kastershtain-Mizne
(781) 570-9909
Sixth Grade
No
No thanks.
Claude Mizne
4/22/2009
Bar Kastershtain-Mizne
cooperseyes@gmail.com
2703 Lariat Ln Walnut Creek, CA 94596 US
Bar Kastershtain-Mizne
(781) 570-9909
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
Bar Kastershtain-Mizne
(781) 570-9909
Sixth Grade
No
No thanks.
Claude Mizne
4/22/2009
Bar Kastershtain-Mizne
cooperseyes@gmail.com
2703 Lariat Ln Walnut Creek, CA 94596 US
Amiram Mizne
(781) 548-9896
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
Bar Kastershtain-Mizne
(781) 570-9909
Sixth Grade
No
No thanks.
Noemi Metcalf
7/9/2016
Cassandra Frantz
cassandrafrantz@gmail.com
+12673258515
5044 Netto Dr Concord, CA 94521 US
Cassandra Frantz
(267) 325-8515
Kindergarten
No
No thanks.
Narina Ajmani
4/19/2022
Guneet Bains-Ajmani
guneet.bainsajmani@gmail.com
+14157079568
5148 Dartmoor circle Fairfield, CA 94534 US
Guneet Bains-Ajmani
(415) 707-9568
Second Grade
No
No thanks.
Session 4 - June 27-June 30 - $ 474.05 Session 7 - July 25-July 28 - $ 474.05
Myra Khera
10/8/2015
Puneet Khera
pbains077@yahoo.com
+17073733281
668 Addison Ct. Benicia, CA 94510 US
Puneet Khera
(707) 373-3281
Kindergarten
No
No thanks.
Leela Tesfay
2/10/2013
Net Tesfay
net508@gmail.com
+19254519665
8 Golden Hill Ct walnut creek, CA 94596 US
Net Tesfay
(925) 451-9665
Zemma Tesfay
6/18/2016
Third Grade
Yes
No thanks.
*Session 8 - August 1 - August 4 - $ 948.10
Lila Jordan
3/29/2012
Carol Mayer
angelheart_4you@yahoo.com
+19253253765
300 East H Street #222 Benicia, CA 94510 US
Carol Mayer
(925) 325-3765
Fourth Grade
No
No thanks.
Cora Myers
4/29/2013
Erin Myers
myerserink@gmail.com
+19259513533
2339 Lariat Lane Walnut Creek, CA 94596 US
Erin Myers
(925) 951-3533
Third Grade
No
No thanks.
Dekel Mizne
1/12/2013
Bar Kastershtain-Mizne
cooperseyes@gmail.com
+17815709909
2703 Lariat Ln Walnut Creek, CA 94596 US
Bar Kastershtain-Mizne
(781) 570-9909
Third Grade
No
No thanks.
Owen Fox
7/26/2011
Marcela Fox
marcela.fox@hotmail.com
+19253359063
161 Valley Glen Ln Martinez, CA 94553 US
Marcela Fox
(925) 335-9063
Fifth Grade
No
No thanks.
Cora Myers
4/29/2013
erin
Third Grade
Dahlia Dodd
4/17/2015
Lauren Dodd
lyaldi@gmail.com
+19256996295
1625 Stanmore Drive Pleasant Hill, CA 94523 US
Lauren Dodd
(925) 699-6295
First Grade
No
No thanks.
Session 6 - July 18-21 - $ 474.05 Session 7 - July 25-July 28 - $ 474.05
Sully Owens
10/5/2014
Heather Jaymes
hnjaymes@gmail.com
+14157943673
2029 Dorsch Road Walnut Creek, CA 94598 US
Heather Jaymes
(415) 794-3673
First Grade
Yes
No thanks.
Sully Owens
10/5/2014
Heather Jaymes
hnjaymes@gmail.com
2029 Dorsch Road Walnut Creek, CA 94598 US
Heather Jaymes
(415) 794-3673
First Grade
Yes
No thanks.
Penelope Ritthaler
2/24/2014
Dina Ritthaler
dsklovsk@gmail.com
+14155310534
16 Fawn Creek Ct Pleasant Hill, CA 94523 US
Libby Ritthaler
(925) 984-6296
Paige Ritthaler
11/3/2016
Third Grade
No
I am unable right now but please send me more information.
Session 5 - July 11-July 14 - $ 948.10
Sully Owens
10/5/2014
Heather Jaymes
hnjaymes@gmail.com
+14157943673
2029 Dorsch Road Walnut Creek, CA 94598 US
Heather Jaymes
(415) 794-3673
First Grade
Yes
No thanks.
Kendall Jimenez
5/11/2013
Collette Jimenez
cslikker05@gmail.com
+19257687283
516 palms drive Martinez , CA 94553 US
Collette Jimenez
(925) 768-7283
Third Grade
No
I am unable right now but please send me more information.
Sully Owens
10/5/2014
Heather Jaymes
hnjaymes@gmail.com
+14157943673
2029 Dorsch Road Walnut Creek, CA 94598 US
First Grade
Yes
No thanks.
Kajsa Hirshberg
5/20/2013
Sarah Newlin
sarahanewlin@gmail.com
+15104992145
17 Cedar Lane Orinda, CA 94563 US
Sarah Newlin
(510) 499-2145
Third Grade
Yes
No thanks.
Displaying 125 - 150 of 277