Camp Siloam 2026 Registration Form

June 8th-12th | Camp Siloam 2026!!!
Dates: June 8th-12th
Cost of Camp: $260
($100 Camp Scholarship for all active church members or participants on Wednesday night/Sunday Morning activities)
Full Scholarships available upon request.

Camper's Name

*

Parents' Name

*

Email

*

This address will receive a confirmation email

You will receive an email to this address from Camp Siloam to finalize your registration. Registration will not be complete until you finalize it on Camp Siloam's website.

Birthday

*

Grade

*

Please select one option.

3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Adult

Gender

*

Please select one option.

Male Female

T-shirt size

*

Please select one option.

Kids Small Kids Medium Kids Large Small Medium Large XL 2X 3X 4X

Phone

*

Address

*

Emergency Contact

*

Relationship to camper

*

Phone

*

Signature

*

You may make a $50 deposit, or you may choose to pay later

Deposit ($50.00) Pay Later by Cash/Check (0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 8th-12th

Camp Siloam 2026!!!
Dates: June 8th-12th
Cost of Camp: $260
($100 Camp Scholarship for all active church members or participants on Wednesday night/Sunday Morning activities)
Full Scholarships available upon request.

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