2026 Camp Siloam Registration Form

June 1-5, 2026 | Camp will be here before you know it! We are going to Camp Siloam in Siloam Springs, AR on June 1-5, 2026. The cost is $375 per camper, which includes lunch to/from camp. Current 3rd-6th graders are welcome to attend.
A non-refundable $100 deposit is required for each camper to be officially registered for camp. Thanks!

Parent's Name

Parent's Email

This address will receive a confirmation email

Parent's Phone

Camper #1 Name

Camper #1 Birthdate

Camper #1 Grade 2025-26 Year

Please select one option.

3 4 5 6 Chaperone

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

Please select one option.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Other

Camper #1 Allergies?

Please select one option.

Yes No

List allergies (if any):

Camper #1 Medications?

Please select one option.

Yes No

Camper #2 Name

Camper #2 Birthdate

Camper #2 Grade 2025-26 Year

Please select one option.

3 4 5 6 Chaperone

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

Please select one option.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Other

Camper #2 Allergies?

Please select one option.

Yes No

List allergies (if any)

Camper #2 Medications?

Please select one option.

Yes No

Camper #3 Name

Camper #3 Birthdate

Camper #3 Grade 2025-26 Year

Please select one option.

3 4 5 6 Chaperone

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

Please select one option.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Other

Camper #3 Allergies?

Please select one option.

Yes No

List allergies (if any.)

Camper #3 Medications?

Please select one option.

Yes No

Deposit Payment (non-refundable)

1 Camper ($100) 2 Campers ($200) 3 Campers ($300)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 1-5, 2026

Camp will be here before you know it! We are going to Camp Siloam in Siloam Springs, AR on June 1-5, 2026. The cost is $375 per camper, which includes lunch to/from camp. Current 3rd-6th graders are welcome to attend.
A non-refundable $100 deposit is required for each camper to be officially registered for camp. Thanks!

2026 Camp Siloam Registration Form

Description

Please Fix the Following