Get away . . . for a change!

Camps, conferences, retreats, and more!

 

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Camper Information
First Name: Last Name:
Birth Date: Male: Female:
Parent Name: Grade Level:
Street Address: City:
State: Zip:
Tel: E-mail:
FAX: Cell:
Work: Church Attending:
Emergency Contact
Name: Relation to Camper:
Phone: Work:

Initial below to signify you agree to the following statement:

 

"I understand that I must give permission before my child receives any over-the-counter medications. My child has permission to participate in all activities on or off the grounds. In case of a medical emergency for my child, I authorize Shiloh Bible Camp staff to act in their best judgment to seek medical attention through appropriate means, including ambulance transport and emergency room treatment. I also accept responsibility for expenses incurred through such treatments."


"I give permission for Shiloh to use any photo or video of my family in publications. I release my right to any kind of remuneration for said photos or videos.”


Camper: "I agree to abide by all camp rules"

Parent Initials: Camper Initials:

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