| Parent or Guardian's Email | First | Last | Gender | Birthday | Next Grade | Address | Guardian | Relationship | Phone | Emergency | Relationship | Phone | Congregation | Cabin Request | T-Shirt Size (adult sizes only) | Physician | Phone | Allergies, Medications and Conditions | Non-Participating Activities: | OTC Medications | Date of Last Tetanus shot: | Can this camper swim? | Medical and Emergency Consent | Media Consent | Electronic Signature | Date | Payment Amount | Payment Date |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Email hidden; Javascript is required. | Kiearrah | Ruley | Female | 12/02/2009 | 10th | 5422 45th Ave N Saint Petersburg, FL 33709 Map It | Halie Walden | Step Mom | (727) 520-3278 | Jayce Ruley | Dad | (727) 288-4378 | Pinellas Park C.O.C | Girl's Cabin 3 | XXL | Evertt Health | (727) 524-7895 |
| 01/01/2025 | Yes |  I agree | I agree | 05/16/2025 | |||||
| Email hidden; Javascript is required. | Malibu | Alyea | Female | 02/11/2015 | 5 | 6325 81st ave n Pinellas Park, FL 33714 Map It | Jayla Woodrum | Mother | (727) 460-0970 | Joseph Alyea | Father | (727) 405-7190 | Pinellas Park Church Of Christ | Girl's Cabin 3 | S | Suncoast Peds | (727) 584-6802 |
| 02/20/2025 | Yes | I agree | I agree | 05/16/2025 | |||||
| Email hidden; Javascript is required. | Kingston | Alyea | Male | 04/02/2013 | 7 | 6325 81st ave n Pinellas Park, FL 33781 Map It | Jayla Woodrum | Mother | (727) 460-0970 | Joseph Alyea | Father | (727) 405-7190 | Pinellas Park Church of Christ | Boy's Cabin 6 | M | Suncoast peds | (727) 584-6802 |
| 03/10/2025 | Yes | I agree | I agree | 05/16/2025 | $175.00 | May 16, 2025 | |||
| Email hidden; Javascript is required. | Aria | Wildman | Female | 07/20/2015 | 4 | 14298 Regency Ct. Weeki Wachee, FL 34614-2012, Florida 34614 Map It | Leah Wildman | mother | (352) 697-3714 | Christine Murray | grandma | (352) 403-3726 | Spring Hill church of Christ | Girl's Cabin 2 | S | Quereshi | (352) 592-2003 |
| 07/31/2021 | Yes | I agree | I agree | 05/17/2025 | $175.00 | May 17, 2025 | |||
| Email hidden; Javascript is required. | Hannah | Toney | Female | 01/29/2012 | 8 | 1452 Alamo ln Dunedin, Fl 34698 Map It | Amy | Toney | (727) 542-5996 | George | Toney | (727) 656-3459 | Palm harbor church of Christ | Girl's Cabin 2 | M | East lake pediatric | (727) 372-6760 | Aderal | No |
| 01/29/2024 | Yes | I agree | I agree | 05/17/2025 | $175.00 | May 17, 2025 | |
| Email hidden; Javascript is required. | Riley | Toney | Female | 04/18/2014 | 6 | 1452 Alamo ln Dunedin, Fl 34698 Map It | Amy | Mother | (727) 542-5996 | George | Father | (727) 656-3459 | Palm harbor church of Christ | Girl's Cabin 2 | M | East lake pediatric | (727) 372-6760 |
| 04/18/2024 | Yes | I agree | I agree | 05/17/2025 | $175.00 | May 17, 2025 | |||
| Email hidden; Javascript is required. | Alia | Keen | Female | 06/03/2015 | 6 | 6208 Raleigh Drive Suite 20 College Station, TX 77845 Map It | Stephen W Boyles | Grandfather | (352) 804-8415 | Lisa McClish | Grandmother | (727) 215-9422 | 39th Ave Church of Christ - Gainesville FL | Boy's Cabin 3 | S | Scott T. Schams, MD | (979) 696-4440 |
| 05/16/2025 | Yes | I agree | I agree | 05/18/2025 | $175.00 | May 18, 2025 | |||
| Email hidden; Javascript is required. | Teddy | Keen | Male | 06/30/2017 | 4 | 6208 Raleigh Drive Suite 20 College Station, TX 77845 Map It | Stephen W Boyles | Grandfather | (352) 804-8415 | Lisa McClish | Grandmother | (727) 215-9422 | 39th Ave Church of Christ - Gainesville FL | Boy's Cabin 3 | S | Scott T. Schams, MD | (979) 696-4440 |
| 05/16/2025 | Yes | I agree | I agree | 05/18/2025 | $175.00 | May 18, 2025 | |||
| Email hidden; Javascript is required. | KERLENS | RIGODON | Male | 07/28/2010 | 10 | 4409 CRESCENT RD. Spring Hill, Florida 34606 Map It | WANEL RIGODON | FATHER | (917) 783-6510 | WATCHEDNA RIGODON | SISTER | (917) 907-0194 | SPRING HILL CHURCH OF CHRIST | Boy's Cabin 3 | M | BROOKSVILLE FAMILY HEALTH CENTER | (352) 518-2000 |
| 08/04/2021 | Yes | I agree | I agree | 05/18/2025 | $175.00 | May 18, 2025 | |||
| Email hidden; Javascript is required. | KERLO | RIGODON | Male | 07/28/2010 | 10 | 4409 CRESCENT RD. Spring Hill, Florida 34606 Map It | WANEL RIGODON | FATHER | (917) 783-6510 | WATCHEDNA RIGODON | SISTER | (917) 907-0194 | SPRING HILL CHURCH OF CHRIST | Boy's Cabin 3 | M | BROOKSVILLE FAMILY HEALTH CENTER | (352) 518-2000 |
| 08/04/2021 | No | I agree | I agree | 05/18/2025 | $175.00 | May 18, 2025 | |||
| Email hidden; Javascript is required. | Eli | Adkins | Male | 06/17/2012 | 8 | 6953 S Spartan Ave Homosassa, Fl 34446 Map It | Goldie Adkins | Mother | (352) 634-2934 | Tommy Adkins | Father | (352) 634-0904 | Pleasant Grove Road Church of Christ | Boy's Cabin 3 | XL | Seema Kamat | (352) 527-6646 |
| 06/15/2018 | Yes | I agree | I agree | 05/18/2025 | $175.00 | May 18, 2025 | |||
| Email hidden; Javascript is required. | Levi | Williams | Male | 01/20/2014 | 6 | 1108 Belle Haven Dr New Port Richey, FL 34654 Map It | Chris Williams | Father | (304) 437-3993 | Kristi Williams | Mother | (304) 437-3994 | Trinty Church of Christ | Boy's Cabin 3 | L | The Pediatric Specialists | (727) 375-5437 |
| 01/20/2021 | Yes | I agree | I agree | 05/17/2025 | $175.00 | May 18, 2025 | |||
| Email hidden; Javascript is required. | Jax | Williams | Male | 01/27/2017 | 3 | 1108 Belle Haven Dr New Port Richey, FL 34654 Map It | Chris Williams | Grandpa | (304) 437-3993 | Kristi Williams | Grandma | (304) 437-3994 | Trinity Church of Christ | Boy's Cabin 4 | XS | The Pediatric Specialists | (727) 375-5437 |
| 08/31/2021 | Yes | I agree | I agree | 05/18/2025 | $175.00 | May 18, 2025 | |||
| Email hidden; Javascript is required. | Benjamin | Avelares | Male | 01/28/2016 | 4 | 11735 Lakewood Dr Hudson, FL 34669 Map It | Ray Avelares | Father | (727) 645-8091 | Gina | Grandma | (813) 442-1584 | Trinity Church of Christ | Boy's Cabin 3 | S | Ramapa | (727) 868-0312 |
| 01/28/2024 | Yes | I agree | I agree | 05/19/2025 | |||||
| Email hidden; Javascript is required. | Brooklynn | Zatarain | Female | 11/26/2015 | 4th | 10934 Peppertree Ln Port Richey, FL 34668 Map It | Kayla Maltese | Mother | (727) 312-8131 | Jerrine Deel | Aunt | (727) 326-2946 | Trinity Church of Christ | Girl's Cabin 1 | S | Dr. Dondero | (727) 844-3551 |
| 11/26/2024 | Yes | I agree | I agree | 05/19/2025 | |||||
| Email hidden; Javascript is required. | Gracie | McAlpin | Female | 04/28/2008 | 12th | 166 Tubular Drive Livingston, Tennessee 38570 Map It | Stephanie McAlpin | Mother | (931) 239-8685 | Erik McAlpin | Father | (931) 239-8684 | Sycamore Church of Christ | Girl's Cabin 3 | XXXL | Mark Langenberg | (931) 823-4016 | Vegetarian diet | No |
| 04/28/2008 | Yes | I agree | I agree | 05/21/2025 | $175.00 | May 21, 2025 | |
| Email hidden; Javascript is required. | Hazen | McAlpin | Male | 12/30/2015 | 4 | 166 Tubular Drive Livingston, Tennessee 38570 Map It | Stephanie McAlpin | Mother | (931) 239-8685 | Erik McAlpin | Father | (931) 239-8684 | Sycamore Church of Christ | Boy's Cabin 3 | S | Mark Langenberg | (931) 823-4016 |
| 12/30/2015 | Yes | I agree | I agree | 05/21/2025 | $175.00 | May 21, 2025 | |||
| Email hidden; Javascript is required. | Harden | Inman | Male | 09/17/2012 | 7 | 34727 Salerno Circle Sorrento, FL 32776 Map It | Christina Inman | Mother | (352) 973-1705 | Vanessa Chapman | Aunt | (321) 624-2076 | Sorrento Hills coC | Boy's Cabin 3 | L | Baker | (352) 877-5463 | Adderall XR 30 mg one in morning | No |
| 01/01/1900 | Yes | I agree | I agree | 05/21/2025 | $175.00 | May 21, 2025 | |
| Email hidden; Javascript is required. | Sawyer | Inman | Male | 09/06/2010 | 9 | 34727 Salerno Circle Sorrento, FL 32776 Map It | Christina Inman | Mother | (352) 973-1705 | Vanessa Chapman | Aunt | (321) 624-2076 | Sorrento Hills coC | Boy's Cabin 3 | XL | Baker | (352) 456-8523 | Adderall XR 30 mg | No |
| 01/01/1900 | Yes | I agree | I agree | 05/21/2025 | $175.00 | May 21, 2025 | |
| Email hidden; Javascript is required. | Kailey | Peterson | Female | 11/21/2007 | 12 | 8305 70th St Pinellas Park, FL 33781 Map It | Emily Peterson | Mother | (727) 326-5835 | William Peterson | Father | (727) 326-7179 | Oak Ridge Wesleyan Church | Girl's Cabin 3 | XL | Dr Corrie Bharucha - Coastal Pediatrics | (727) 525-2161 | Anaphylactic to peanuts, pistachios and cashews. Camper must carry EpiPens on her person at all times! | No |
| 10/14/2019 | Yes | I agree | I agree | 05/21/2025 | $175.00 | May 21, 2025 | |
| Email hidden; Javascript is required. | Anniston | Monahan | Female | 01/26/2008 | 12 | 11597 Shelly Cir Seminole, United States (+1) 33772 Map It | Todd Monahan | Father | (727) 204-6830 | Julie Monahan | Mother | (727) 512-0494 | Pinellas Park Church of Christ | Girl's Cabin 3 | M | Jeff Hirschfield | (727) 381-4305 | Tree nut |
| 06/15/2021 | Yes | I agree | I agree | 05/21/2025 | $175.00 | May 21, 2025 | ||
| Email hidden; Javascript is required. | Baker | Monahan | Male | 01/06/2011 | 9 | 11597 SHELLY CIR N SEMINOLE, FL 33772 Map It | Todd Monahan | Father | (727) 204-6830 | Julie Monahan | Mother | (727) 512-0494 | Pinellas Park Church of Christ | Boy's Cabin 4 | M | Jeffery Hirschfield | (727) 381-4305 |
| 06/15/2021 | Yes | I agree | I agree | 05/21/2025 | $175.00 | May 21, 2025 | |||
| Email hidden; Javascript is required. | Karter | Tolbert | Male | 06/02/2011 | 9 | 1196 Barstow Ave North Port, FL 34288-4636 Map It | Kristi Tolbert | Mom | (870) 403-8765 | Keith Tolbert | Dad | (870) 403-8766 | Port Charlotte church of Christ | Boy's Cabin 3 | M | Goldstar Pediatrics | (941) 266-5629 | Knee pain- needs to wear knee brace during activities | Wear knee brace during activities |
| 11/07/2022 | Yes | I agree | I agree | 05/23/2025 | $175.00 | May 23, 2025 | |
| Email hidden; Javascript is required. | Gianni | Angel | Male | 01/13/2011 | 9 | 4133 Jespersen St Apopka, Florida 32712 Map It | Tina Gibson | Grandmother | (941) 223-5289 | Megan Gibson | Mother | (321) 201-8619 | Concord Street church of Christ | Boy's Cabin 3 | M | Dr. Jennifer Thielhelm | (407) 660-7000 | Has asthma and seasonal allergies | No |
| 07/01/2023 | Yes | I agree | I agree | 05/23/2025 | $175.00 | May 23, 2025 | |
| Email hidden; Javascript is required. | Kaden | Tolbert | Male | 09/26/2006 | College | 1196 Barstow Ave North Port, FL 34288-4636 Map It | Kristi Tolbert | Mom | (870) 403-8765 | Keith Tolbert | Dad | (870) 403-8766 | Port Charlotte church of Christ | Boy's Cabin 3 | L | Millennium Physician Group | (941) 255-3535 | ALLERGY TO PEANUTS!!! PLEASE DO NOT MIX PEANUT BUTTER IN THE JELLY JAR!!! SEPARATE JELLY AND PB! THANKS SO MUCH!! |
| 09/06/2018 | Yes | I agree | I agree | 05/23/2025 | $175.00 | May 23, 2025 | ||
| Parent or Guardian's Email | First | Last | Gender | Birthday | Next Grade | Address | Guardian | Relationship | Phone | Emergency | Relationship | Phone | Congregation | Cabin Request | T-Shirt Size (adult sizes only) | Physician | Phone | Allergies, Medications and Conditions | Non-Participating Activities: | OTC Medications | Date of Last Tetanus shot: | Can this camper swim? | Medical and Emergency Consent | Media Consent | Electronic Signature | Date | Payment Amount | Payment Date |
