Shiloh Adventure - REGISTER FOR CAMP

2008 SHILOH ADVENTURE

REGISTRATION INFO (Step 1)

This step will record important camper & parent information. Registration is not complete until Step 2 Registration Fee is received.

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Step 1 of 2

FULL payment is required with registration to reserve a spot at camp, and qualify for any discounts. Craft and materials cost for activities and "Teach Me Groups," and a camp T-shirt are included in the registration fee.

NEW FOR 2008 - Special Excursions (see our 2008 Activities Page) do have a small nominal extra charge...

Registration Fees: (each camper, per week)	By June 1^st	After June 1^st
Single Camper, 1 week:	$300.00	$315.00
Single Camper, multiple wks, each week:	$285.00	$300.00
Family (2 or more), 1 week:	$285.00	$300.00
Family multiple weeks, each week:	$275.00	$290.00
Group Discount (6 or more):	$265.00	$280.00

Day Campers - $50.00 per day. Monday – Friday, 9:00 am to 4:00 pm

Special Excursion #1: Turtle Nesting Night Hike (Sorry, all booked up!)	$10.00
Special Excursion #2: Sebastian St Park Spanish Fleet Museum & Tidal Pools Snorkeling	$5.00
Snorkeling Equipment Rental for #2 (Available, although we recommend bringing your own equipment)	$10.00

2008 Summer Camp Schedule
Week 1: July 13 - July 18 (Not Available)
Week 2: July 20 - July 25
Week 3: July 27 - August 1
Week 4: August 3 - August 8 *
* Sorry, Turtle Night Hike NOT available Wk 4

CLICK
HERE

Download the mail-in Registration Form

You can then e-mail the form to info@shilohadventure.com or mail to
Shiloh Adventure Camp
P.O. Box 74
Cocoa, FL 32923-0074

CLICK
HERE

Download to print the required Medical/Parent Consent Form

ON-LINE REGISTRATION

CAMPER SECTION

Week(s) Attending? *

Week 1 Week 2 Week 3 Week 4
Not Available Jul 20-25 Jul 27-Aug 1 Aug 3-8

Camper's Name*

First Last

Address*

City,State Zip*

Home Phone*

Please include Area Code (XXX) XXX-XXXX

Birth Date*

mm/dd/yyyy

Age*

Grade Entering *

Gender*

Male Female

PARENT SECTION

Parent/Guardian*

First Last

Address (If different than above)

City,State Zip

E-mail Address *

Confirm Email *

Home Phone *

Please include Area Code (XXX) XXX-XXXX

Work Phone

Cell Phone

In case of emergency, who can we contact other than the above

Contact Name *

Relationship *

Phone *

Additional Emerg Phone

Please include Area Code (XXX) XXX-XXXX

What church does the camper attend including address and phone number?

How did you hear about us? *

Additional Comments:

Such as name of 'bunkhouse mate' preference, number of extra T-shirt(s) and Sizes, scholarship application pending, group (6 or more) name, or any other special info.

Other family members attending Shiloh Adventure Camp? Yes No
Please submit a separate form for each child.

Camper's T-Shirt Size *

(Included in Camper Registration Fee)

Method of Payment: *

Check Credit Card

- Please call for Special Excursions - Special Excursions Sign-up:	Per Camper
Turtle Nesting Night Hike Very Limited Availability - Please call now to confirm availability (321) 452-3943 Sorry - Sorry Not available ALL BOOKED UP!!!	$10.00
Sebastian State Park Spanish Fleet Museum and/or Snorkeling in the Cove 'Tidal Pools' Using your equipment - recommended	$5.00	Yes
Snorkeling Equipment Rental (Available, however recommend bringing your own equipment.)	$10.00	Yes

Please be sure to download and send in the required Medical Info and Parent Consent form. (Note: The form must be signed and notorized. A camper can not stay at camp without this form on file.)

Download Medical/Parent Consent Form here

Please thoroughly check all the Registration Information for this Camper before you click "Submit Camper Info." You may want to use the "Print This Page" button at the top to make a copy for your records. After click "Submit Camper Info" you can EITHER register additional family or small group Campers' Info, OR proceed to Step 2, Registration Fee payment arrangements.