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​The Seventh-day Adventist Church in Cayman Islands is governed by the Cayman Islands Conference of Seventh-day Adventists. As of June 30, 2018, there were 6,108 baptized Seventh-day Adventist members in the total population of 62,000, and 16 organized churches.

​Cayman Islands Conference is one of four territories of the Atlantic Caribbean Union Mission. The conference spans 100 square miles across three islands: Grand Cayman, Cayman Brac, and Little Cayman. Grand Cayman is the largest and most developed of the three. The conference currently has 16 churches, two companies, and a pre-K to grade-12 school with an enrollment of 312. The conference membership stands at 6,414.