2009 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.
You are in
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.   

Special Excursions (see our 2009 Activities Page) do have a small nominal extra charge...  

HEY LOOK ... We've extended the early registration discount ($25 OFF) THROUGH THE ENTIRE SUMMER!!!!  (I guess we shouldn't call it 'early registration discount' anymore.)  Oh, well....Please be sure to register ASAP!!!

Registration Fees:
(each camper, per week)

By June 1st

After June 1st
The SAME
throughout
Summer

Single Camper, 1 week:

$315.00

$315.00

Single Camper, multiple wks,
each week:

$300.00

$300.00

Family (2 or more), 1 week:

$300.00

$300.00

Family multiple weeks, each
week:

$290.00

$290.00

Group Discount (6 or more):

$280.00

$280.00

 

Day Campers - $55.00 per day (early payment), $55.00 per day (regular). Monday – Friday, 9:00 am to 4:00 pm

Special Excursion #1:
       Turtle Nesting Night Hike (Full as of 06/21/09)		 $10.00 
Special Excursion #2:
        Sebastian St Park Spanish Fleet Museum
        & Tidal Pools Snorkeling

   $5.00

        Snorkel & Mask Rental for #2
        (Available, although we recommend bringing your own equipment)		 $5.00

2008 Summer Camp Schedule
Week 1:  June 14 - June 19 (Call for Info)
Week 2:  June 21 - June 26
Week 3:  June 28 - July 3
Week 4:  July 5 - July 10
Week 5:  July 12 - July 17 (Sorry, Closed)

 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

YOUTH CAMPER SECTION

Week(s) Attending? *

   Week 1   Week 2   Week 3    Week 4    Week 5
         Call     Jun 21-26        Jun 28-Jul 3       Jul 5-10          Closed
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 - You must call to confirm availability (321) 452-3943
   $10.00  Yes
  • Sebastian State Park Spanish Fleet Museum and/or Snorkeling in the Cove 'Tidal Pools' 
   $5.00  Yes
  • Snorkel & Mask Rental
    (Available, however recommend bringing your own equipment.)
   $5.00  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.