2024 Camp Siloam Registration Form

Parent's Name

Parent's Email

This address will receive a confirmation email

Parent's Phone

$90 Depost per Camper

Amount

Camper #1 Name

Camper #1 Birthdate

Camper #1 Grade

Camper #1 T-Shirt Size (Remember to size up 1-2 sizes for kids.)

Camper #1 Allergies?

List allergies (if any):

Camper #1 Medications?

Camper #2 Name

Camper #2 Birthdate

Camper #2 Grade

Camper #2 T-Shirt Size (Remember to size up 1-2 sizes.)

Camper #2 Allergies?

List allergies (if any)

Camper #2 Medications?

Camper #3 Name

Camper #3 Birthdate

Camper #3 Grade

Camper #3 T-Shirt Size (Remember to size up 1-2 sizes.)

Camper #3 Allergies?

List allergies (if any.)

Camper #3 Medications?

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

July 22-26, 2023

Camp will be here before you know it! We are going to Camp Siloam in Siloam Springs, AR on July 22-26, 2024. The cost is $350 per camper, which includes lunch to/from camp. Current 3rd-6th graders are welcome to attend. There is a deposit of $90 due upon registering, and payment plans are available for the rest of the amount. USE THIS FORM FOR REGISTRATION ONLY. You may make payments for camp at: https://hdbc.breezechms.com/form/2024kidscamppayments

2024 Camp Siloam Registration Form

Description

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