LCAC Registration

Dietary Restrictions
Does {childsName} have any dietary restrictions, including those for medical, religious or cultural reasons?*

YesNo
Please explain*

0/200

Parent/Guardian Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
E-mail*
example@example.com
Phone*
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian 2
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
example@example.com
Phone
Home Address same as {parentguardian18}?

YesNo
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

Pledge & Law Agreement
Pledge

Because Jesus loves me, I will always do my best.

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 Reverant
I, {childsName}, want to join the Loveland Cougars Adventurer Club.

I will attend meetings, field trips, and other club activities. I will proudly wear my Adventurer uniform and obey club guidelines. I will be cheerful, helpful, honest, kind, and courteous.
Child's Signature*

Clear
Date*

MonthDayYear

Approval & Consent of Parent/Guardian
As parent/guardian(s), we understand that the Adventurer program is an active program which includes many opportunities for service, adventure, fun, and learning. I will support the program by:
1. Encouraging my Adventurer to take an active part in all club meetings and functions.
2. Attending events to which parents are invited in support of my Adventurer.
3. Assisting club leaders by serving as a helper when needed.
4. Not holding any individual club staff member liable in the event of an accidental injury.
5. Giving my permission for {childsName} to attend Adventurer activities.
Parent/Guardian's Signature*

Clear
Date*

MonthDayYear

Health Information
Please note that the Adventurer Club Health Record is required for all members. It is provided below for your convenience. Copies will also be available at the registration counter on Registration Day. You may complete a copy digitally or in print ahead of registration. Complete one form per child.

If you complete this form early, please DO NOT email it to the club director or staff. The information contained is highly sensitive, and not intended for digital use.

Adventurer Club Health Record
Payment Information
Dues are $50 per Adventurer

All Payments Due on Registration Day

Registration Day is Sunday, August 18 from 10:00 AM to 12:00 PM

There are two ways to pay for your club membership:
1. In-person on Registration Day, with Cash or Check
2. Online, through AdventistGiving
If you are paying with cash or check, please bring your payment to the registration counter. Payment will be inserted into a properly marked tithe envelope. Checks shall be made out to Campion SDA Church, with a memo of "Adventurers". If you are paying online, please review the instructions below.

Instructions for Online Payment
1. Navigate to AdventistGiving (adventistgiving.org)
2. Log into your account
  - If you don't have an account, choose Donate in the top menu.
  - An account is not required. You may continue as a guest later.
3. Search for Campion Seventh-Day Adventist Church
4. Look for the Local Offerings section, and click Add Categories*
5. Add the "Adventurer's Club" category*
6. Return to the donation page
7. Enter the amount of dues for your child(ren)*
8. Click Continue to Donate*
9. Complete the payment information form
10. Show the payment receipt email to staff on Registration Day
*Image below

Section Collapses Need Some Work!!!
Should be Empty: