Registration form fee: $10 per Adventurer, staff member and volunteer


Fee: per Adventurer, staff member and volunteer



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Fee: $10 per Adventurer, staff member and volunteer
Club name ______________________________________________________________

Church name ____________________________________________________________

Address ________________________ City ___________ State __________ ZIP ______

Pastor’s name _________________________________ Phone _____________________

Director’s name _______________________________ Phone _____________________

Address ________________________ City ___________ State __________ ZIP ______

Email address ____________________________________________________________

CLUB STAFF

Deputy Directors ______

_____________________________________________ Male ____ Female ____

_____________________________________________ Male ____ Female ____

_____________________________________________ Male ____ Female ____

_____________________________________________ Male ____ Female ____

Counselors ______ ( ____ Master Guides) ____ Males ___ Females

Volunteers ______ ____ Males ___ Females


CLUB MEMBERS

Club members ______ ____ Males ___ Females



CLUB RESOURCES

Check if your club family has:

Adventurer Family Network ______ Club Choir _______ Soloists ______

Color Guards ______ Playwrights ______ Artists _______

Sign Language Performers ______ Pianists/Musicians ______
Additional pertinent information: ____________________________________________

_______________________________________________________________________


INSTRUCTIONS: Please type or print and complete the set in triplicate, including the following page(s) with individual names listed. Mail one copy to the SAC Youth Department, one copy to your area coordinator, and keep one copy for your records. Church check or money order for full fee amount is due by October 30, 2008, and should be made payable to South Atlantic Conference of Seventh-day Adventists. Mail form and church check or money order to:
SOUTH ATLANTIC CONFERENCE YOUTH DEPARTMENT

294 Hamilton E. Holmes Dr., NW • Atlanta, GA 30318



Phone 404-792-0535

SAC Adventurer Registration Form – page 2
2008 Adventurer Club Roster
Club Name: ____________________ ____ Director: _______________________

Total registering (all-inclusive): _________ Total fee enclosed: _______________

Date: _____________________________ Meeting days: __________________
Deputy Directors Counselors

__________________________________ ________________________________

__________________________________ ________________________________

__________________________________ ________________________________

__________________________________ ________________________________

__________________________________ ________________________________

__________________________________ ________________________________
Volunteers

__________________________________ ________________________________

__________________________________ ________________________________

__________________________________ ________________________________


Club Members

(Little Lambs-Advanced Helping Hands)


Male Female
1.__________________________________ ______________________________

2.__________________________________ ______________________________

3.__________________________________ ______________________________

4.__________________________________ ______________________________

5.__________________________________ ______________________________

6.__________________________________ ______________________________

7.__________________________________ ______________________________

8.__________________________________ ______________________________

9.__________________________________ ______________________________

10._________________________________ ______________________________

11._________________________________ ______________________________

12._________________________________ ______________________________

13._________________________________ ______________________________

14._________________________________ ______________________________

15._________________________________ ______________________________

16._________________________________ ______________________________

17._________________________________ ______________________________

SAC Adventurer Registration Form – page 3


Club Members (continued)
Club Name: ________________________ Director: _______________________

Male Female

18.________________________________ ______________________________

19.________________________________ ______________________________

20.________________________________ ______________________________

21.________________________________ ______________________________

22.________________________________ ______________________________

23.________________________________ ______________________________

24.________________________________ ______________________________

25.________________________________ ______________________________ __________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________

__________________________________ ______________________________



__________________________________ ______________________________




FOR OFFICE USE ONLY:
Date received: __________________________ Amount received: ______________________
Method of payment: _____________________ Check/money order number: _____________


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