Day Trip Registration - Shiloh Bible Camp & Retreat Center

Day Trip Registration Form

* Indicates required field

Church/Organization Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Group Leader *

First

Last

Leader Email *

Phone Number *

Event Date *

Arrival Time *

Depart Time *

Approx # Attending *

Choose an Option *

*Please bring your own meals/snacks/drinks (Meals can be made available for extra)

Extras:

(in addition to trip cost) *

Extra Meal - $10 per person

Comments/ Requests *

Submit