Quo Vadis Registration

- All Forms must be completed and presented to Rev. Gilbert Starcher upon arrival at Camp Shiloh.
- Important Documents below.
  
  Photo Release Form
  
  Parental Agreement Form
  
  Medical Release Form - *Required Document from Camp Shiloh
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Registrants Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parish Information
  
  Parish Name REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  School Information
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Anticipated or Actual Graduation Year REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Other Important Information
  
  Allergies REQUIRED Please fill out this field. Please enter valid data.
  
  Did someone recommend that you attend? If so, please list their name and role in the parish. REQUIRED Please fill out this field.
  
  I have completed and will bring the Parental Agreement upon my arrival to this event REQUIRED Yes Please fill out this field.
  
  I have completed and will bring the Camp Shiloh medical release form upon my arrival to this event REQUIRED Yes Please fill out this field.
  
  I have completed and will submit the Photo Release form upon my arrival to this event REQUIRED Yes Please fill out this field.
  
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