Registration Form 2018
Which Camp Week are you registering for? *
Name (First and Last) *
Your answer
Grade *
Age *
Your answer
Gender *
Home Church
Your answer
Parent/Guardian's Name *
Your answer
Phone *
Your answer
Email Address *
Your answer
Mailing Address *
Your answer
Alternate Phone
Your answer
Cabinmate Request
Your answer
Lice Checks *
I understand that Lice checks will be administered at registration and the camper could be SENT HOME if lice are found.
Required
Dress Code *
I have read and agree to follow Shiloh's Dress Code. https://www.shilohbiblecamp.com/dress-code/
Required
Medical Dietary Restrictions
Serious allergies only. Note: Shiloh does NOT provide any lactose free milk products or specialty bread.
Your answer
Payment *
Please specify which payment method you will choose below.
Submit
Never submit passwords through Google Forms.
This form was created inside of Shiloh Bible Camp. Report Abuse - Terms of Service - Additional Terms