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: _____________
|
Share with your friends: |