2025-2026 Adventurer Club Registration

2025-2026 Adventurer Club Registration
Club Name:*
Sponsoring Church:*
Pastor:*
Head Elder:*
Club Director
Elected Club Director:*
Gender*

MaleFemale
Birthdate*

MonthDayYear
Date
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Does this Phone Number receive text messages?*

YesNo
Club Meetings

Tell us a bit about when you intend to have meetings for your club.
What day(s) of the week?

SundayMondayTuesdayWednesdayThursdayFridaySabbath
What week(s) of the month?

1st Week of Month2nd Week of Month3rd Week of Month4th Week of Month
What time?

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Additional Notes
About Your Staff

Tell us a bit about your staff. ALL staff must be registered with the Wisconsin Conference and have completed their Sterling Volunteers Child Protection course and Background Check. Staff have until October 17 (Leadershop Weekend) to complete this training or they will be removed as staff.
Number of Male Staff*
Number of Female Staff*

Club Director