Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

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Emergency Phone *

(###)

###

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Dress Code *

I have read and agree to follow Shiloh's Dress Code. https://www.shilohbiblecamp.com/dress-code

Yes, I agree

Media Release *

I have read and agree to Shiloh Bible Camp's Media Release and acknowledge that it gives permission for Shiloh to use any photos, videos and audio recordings, at their discretion. https://static1.squarespace.com/static/5a9b7d41710699484fb6e835/t/5b1820d41ae6cf5b6c7ea082/1528307927433/PDF+-+Shiloh+Bible+Camp+-+Medical+Release+Form.pdf

Yes, I agree

Cell Phone Policy *

I understand that Shiloh has a no cell phone policy and agree to leave my phone at home or leave it at registration when arriving at camp.

Yes, I understand