Language
  • English (US)
  • Spanish (Latin America)
  • Miami Temple Messengers Adventurer Club

    Member Registration Form
  • Member Information

  •  -  -
    Pick a Date
  •  -  -
    Pick a Date
  •  -  -
    Pick a Date
  • Please help your member memorize the Adventurer Pledge and Law

  • Adventurer Pledge:

    Because Jesus loves me I will always do my best.

  • Adventurer Law:

    Jesus can help me to:

    • Be obedient
    • Be pure
    • Be true
    • Be kind
    • Be respectful
    • Be attentive
    • Be helpful
    • Be cheerful
    • Be thoughtful
    • Be reverent
  • Parent / Guardian Information

  • Dismissal Authorization

  • To ensure each child's safety. Adventurers will be dismissed from club functions only to the authorized family members or guadian which appear on this form

  • Authorized Persons

  • 2nd Authorized Person

  • 3rd Authorized Person

  • Virtual Group Agreement

  • As the parent of legal guardian of the MT Adventurer indicated on the form, I grant permission for Miami Temple Adventuer Club to engage my child in the use of video and audio conferencing with the Miami Temple Adventurer Club. These small groups are comprised of the Adventurers that would normally be included in their live discussions at Miami Temple SDA Church. These groups will be supervised and managed by the screen and trained club leaders/counselors.

    MT ADVENTURER CLUB COMMUNICATIONS AGREEMENT

    As the parent or legal guardian of the student indicated on the form, I gran permission for Miami Temple Adventurer Club to engage my child and myself through text messaging at the number provided on thier intake form. These text messages will be for the purpose of shareing Adventurer Club content. This service is optional, and text messaging rates may apply-those are not the responsibility of Miami Temple SDA Church.

  • Photo Release Agreement

  • I do hereby voluntarily waive, grant, and release the right to photograph and publish pictures, audio and video of me and/or my child or children (listed below) to the Florida Conference of Seventh-day Adventists. I understand that photographs may be printed, placed on the organization's various websites, or incorporated into promotional material such as brochures or videos.

    I hereby waive any claim against the Florida Conference of Seventh-day Adventists for any personal or emotional damage which may arise in connection with the use of the photographs.

    I understand that illegal or explicit photographs are NOT authorized under this agreement. Should such a situation arise, it is understood that it is not the result of negligence on the part of the Florida Conference of Seventh-day Adventists. In such a case the violating individual or parties are solely liable and are subject to all local, state, and federal laws.

    I understand that by signing this form, I am releasing all recorded images and audios for the express use of the Florida Conference of Seventh-day Adventists. Neither my child nor I will receive any compensation for this now or at any time in the future. I further certify that I am the parent or guardian of the child and am over 18 years of age. I understand that the Florida Conference of Seventh-day Adventists and the photographer(s) will hold the copyright to all photographs.

    Should I desire a copy of one or more photographs, videos or audios, I will make a request to the appropriate person verbally or in writing.

  • Approval of Parent(s) / Guardian(s)

    The applicant is in Pre-K through 4th grade at time of registration. We have read the Pledge and Law and are willing and desirous that the applicatn become an Adventurer. We will assist the application in observing the rules of the Adventurer organization. As parents, we understand that the Adventurer Club program is an active one for the applicant. It incudes many opportunities for services, adventurer, and fun. We will cooperate by:

    1. By learning ow we can assist the applicant and his/her leaders.
    2. By encouraging the application to take an active part n all club activities.
    3. By attending events to which parents are invited.
    4. By assisting club leaders and by serving as leaders if called upon.

    We hereby certify that all information stated is valid and truthful.

  • Clear
  •  -  -
    Pick a Date
  • Clear
  •  -  -
    Pick a Date
  • Medical Consent Form

  •  -  -
    Pick a Date
  • ADVENTURER MEDICAL HISTORY

  •  -  -
    Pick a Date
  • EMERGENCY CONTACT

    (IN CASE PARENTS ARE UNAVAILABLE)
  • CONSENT TO TREAT

  • I,         (parent / guardian), give the following consent for emergency medical treatment for the above named minor. This shall be in effect from August 2021 - June 2022

    (Español - Doy siguiente consentimiento para el tratamiento médico de emergencia para el menor mencionado anteriormente. Estará en vigor desde agosto de 2021 hasta junio de 2022.)

  • Please click the Submit button below then check your email for a PDF version of this form. Print the form and sign in front of a Notary Public.

     

    Parent / Guardian Signature: _______________________________

                                               ________________________________

     

    Date: ___________________

  • NOTARY

     

    Subscribed and acknowledged before me this ________ day of

    ____________, 20___ by ___________________________

     

    who is personally known to me or has produced _________________

    _________________________ as identification.

     

     

     

     

     

     

  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free! Create your own Jotform