Adventurer Club Membership Registration Form

ADVENTURER CLUB REGISTRATION

Complete the form below to register your church's Adventurer Club. Registration due date is JANUARY 31ST 2025.
Club Name
Other Club Name
IF YOUR CLUB NAME IS NOT LISTED, PLEASE ADD IT HERE SO WE CAN UPDATE OUR DATABASE.
Church Name
Area
Registration Year
Director's Name

First NameLast Name
Is the Director an Invested Master Guide

YESNO
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Director's E-mail
Director's Phone Number

Area CodePhone Number
Number of Members
NUMBER OF MEN
NUMBER OF BOYS
NUMBER OF WOMEN
NUMBER OF GIRLS
TOTAL STAFF
TOTAL CHILDREN
Additional Personnel
Personnel #1

First NameLast Name
Email (Personnel #1)
example@example.com
Phone Number (Personnel #1)
Please enter a valid phone number.
Invested Master Guide (Personnel #1)

YESNO
Personnel #2

First NameLast Name
Email (Personnel #2)
example@example.com
Phone Number (Personnel #2)
Please enter a valid phone number.
Invested Master Guide (Personnel #2)

YESNO
Personnel #3

First NameLast Name
Email (Personnel #3)
example@example.com
Phone Number (Personnel #3)
Please enter a valid phone number.
Invested Master Guide (Personnel #3)

YESNO
Personnel #4

First NameLast Name
Email (Personnel #4)
example@example.com
Phone Number (Personnel #4)
Please enter a valid phone number.
Invested Master Guide (Personnel #4)

YESNO
Personnel #5

First NameLast Name
Email (Personnel #5)
example@example.com
Phone Number (Personnel #5)
Please enter a valid phone number.
Invested Master Guide (Personnel #5)

YESNO

ADVENTURER CLUB REGISTRATION

Number of Members

Additional Personnel

Credit Card