Name | Date of Birth | Name | 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. |