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)
Baylyn Hutson
7/5/2012
Shawna Hutson
edu@hutsons.org
+16232188993
109 Clear Lake Court Oakley, CA 94561 US
Shawna Hutson
(623) 218-8993
Asaya Hutson
9/9/2015
Fourth Grade
Yes
I am unable right now but please send me more information.
*Bonus Session - May 31 - June 3 - $ 848.30 Session 1 - June 6-June 9 - $ 848.30 Session 3 - June 20-June 23 - $ 848.30 Session 6 - July 18-21 - $ 848.30 Session 8 - August 1 - August 4 - $ 848.30
Camryn Conner
11/15/2014
Molly Conner
newellmolly@gmail.com
+14157450235
823 Graf Way Winters, CA 95694 US
Molly Conner
(415) 745-0235
First Grade
Yes
No thanks.
Session 3 - June 20-June 23 - $ 424.15
Ellis Roberts
8/10/2015
Virginia Roberts
vdavis428@gmail.com
+19258762966
1148 Heavenly Drive Martinez , CA 94553 US
Virginia Roberts
(925) 876-2966
First Grade
No
I am unable right now but please send me more information.
*Bonus Session - May 31 - June 3 - $ 424.15
Ellis Roberts
8/10/2015
Virginia Roberts
vdavis428@gmail.com
+19258762966
1148 Heavenly Drive Martinez , CA 94553 US
Virginia Roberts
(925) 876-2966
First Grade
No
I am unable right now but please send me more information.
*Bonus Session - May 31 - June 3 - $ 424.15
Charlotte Roche
4/12/2012
Jennifer Roche
jennap72@yahoo.com
+19258580700
1966 Rose Ln Pleasant hill, CA 94523 US
Rich Roche
(707) 685-1957
Fourth Grade
No
No thanks.
Session 6 - July 18-21 - $ 424.15
Lucas Edwards
7/12/2014
Ericka Edwards
boogiebears@ymail.com
+15107069378
1579 Ruth 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 1 - June 6-June 9 - $ 848.30 Session 2 - June 13-16 - $ 848.30
Alden Reynolds
5/5/2017
Sharon Reynolds
sharbear85@gmail.com
+17143230004
501 Tierney Pl Martinez , CA 94553 US
Nathan Reynolds
(760) 617-6973
Kindergarten
Yes
I am unable right now but please send me more information.
Session 3 - June 20-June 23 - $ 424.15
Session 1 - June 6-June 9 - $ 848.30 Session 2 - June 13-16 - $ 848.30
Luc Zundel
5/8/2012
Kate Zundel
katerushton2000@hotmail.com
+14153852416
1967 Rose Lane Pleasant Hill, CA 94523 US
Kate Zundel
(415) 385-2416
Parker Zundel
10/14/2014
Fourth Grade
Yes
No thanks.
Session 6 - July 18-21 - $ 848.30
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 3 - June 20-June 23 - $ 848.30
Karina Roa
6/12/2013
Isabella Roa
katye.roa@gmail.com
+15103033948
2641 Box Canyon road Pinole, CA 94564 US
Katye Roa
(510) 303-3948
Third Grade
No
No thanks.
Session 3 - June 20-June 23 - $ 424.15
Felix Goldman
9/10/2011
Laura Gray
lgrungirl@gmail.com
+13109803968
4725 Tahoe Cir Martinez, CA 94553 US
Laura Gray
(310) 980-3968
Fourth Grade
No
No thanks.
Session 6 - July 18-21 - $ 424.15
Paige Rondini
8/5/2014
Kathy Rondini
kathy716@gmail.com
+19259843851
4815 Phylis terrace Martinez, CA 94553 US
Kathy Rondini
(945) 984-3851
Second Grade
No
No thanks.
Session 7 - July 25-July 28 - $ 424.15
Weston McNeil
11/13/2012
Natalia McNeil
nataliamcneil@gmail.com
+14158301433
336 Belva Lane Pleasant Hill, CA 94523 US
Keith McNeil
(415) 606-3243
Third Grade
No
I am unable right now but please send me more information.
Session 1 - June 6-June 9 - $ 424.15
Brynn Vermeer
11/4/2011
Brooke Vermeer
brookevermeer@hotmail.com
+19253302471
41 Viejo Vista Alamo, CA 94507 US
Brooke Vermeer
(925) 330-2471
Keith Vermeer
7/2/2010
Fourth Grade
No
No thanks.
Brynn Vermeer
11/4/2011
Brooke Vermeer
brookevermeer@hotmail.com
+19253302471
41 Viejo Vista Alamo, CA 94507 US
Brooke Vermeer
(925) 330-2471
Keith Vermeer
7/2/2010
Fourth Grade
No
No thanks.
July Ziegler
4/10/2013
Patty Crespo
onpctime@gmail.com
+15105205078
2220 Monterrey Avenue Martinez, CA 94553 US
Patty Crespo
(510) 520-5078
Third Grade
No
No thanks.
Session 2 - June 13-16 - $ 424.15 Session 8 - August 1 - August 4 - $ 424.15
Heidi Goldman
8/27/2014
Laura Gray
lgrungirl@gmail.com
+13109803968
4725 Tahoe Cir Martinez, CA 94553 US
Laura Gray
(310) 980-3968
Second Grade
No
No thanks.
Session 2 - June 13-16 - $ 424.15 Session 6 - July 18-21 - $ 424.15
Simone Schwinn
12/20/2011
Michael Schwinn
mike@ironhorsehome.com
+15109103815
8 Margate Circle Pleasant Hill, CA 94523 US
Mike Schwinn
(510) 910-3815
Fourth Grade
Yes
No thanks.
Session 8 - August 1 - August 4 - $ 424.15
Scout Bryan
6/18/2014
Megan Bryan
megbry@hotmail.com
+19256834454
30 Erin Ct Pleasant Hill, CA 94523 US
Megan Bryan
(925) 683-4454
Second Grade
No
No thanks.
Session 7 - July 25-July 28 - $ 424.15
Simone Schwinn
Session 8 - August 1 - August 4 - $ 424.15
Tanner Hyatt
11/20/2011
Charlise Hyatt
charlisehyatt44@gmail.com
+19255701404
425 Eagle Nest Court Martinez, CA 94553 US
Charlise Hyatt
(925) 570-1404
Mackenzie Hyatt
9/8/2013
Fourth Grade
No
No thanks.
Belle Bunch
7/28/2011
Sarah Bunch
dr.sarahbunch@gmail.com
+14152350951
1014 Haven St. Martinez, CA 94553 US
Sarah Bunch
(415) 235-0951
Fifth Grade
No
No thanks.
Session 1 - June 6-June 9 - $ 424.15
Rocco Giacalone
9/10/2014
Adrienne Giacalone
adrienne.giacalone@gmail.com
+15047108084
712 Arreba Street Martinez, CA 94553 US
Adrienne Giacalone
(504) 710-8084
Drake Giacalone
10/10/2016
First Grade
No
No thanks.
*Bonus Session - May 31 - June 3 - $ 848.30
Juniper Kirkwood
1/29/2020
Chelsa Robinson
itsokaygoforit@yahoo.com
+15109190555
3315 Lowell Ave Richmond, CA 94804 US
Chelsa Robinson
(510) 919-0555
Sixth Grade
No
No thanks.
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