Camper's Name *
Camper's Name
Serious allergies only. Note: Shiloh does NOT provide any lactose free milk products or specialty bread.
Parent/Guardian's Name
Parent/Guardian's Name
Phone *
Please put the best number at which we can reach you.
Alternate Phone
Alternate Phone
Lice Checks *
I understand that Lice checks will be administered at registration and the camper could be SENT HOME if lice are found.
Dress Code *
I have read and agree to follow Shiloh's Dress Code.
Please specify which payment method you will choose below.

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