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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.