SDFA Adventurer club 2025-2026
ADVENTURER registration form
Name
*
First Name
Last Name
Preferred names or nicknames (optional)
Registration type
*
New ($70)
Returning ($45)
Please indicate if registration payment was submitted. Registration payments are currently only accepted via cash or check made payable to San Diego Fil-Am SDA Church (memo: registration fee for (your child’s name))
*
Yes
No
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
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2015
2014
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
Grade
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary care doctor and phone number
*
Medical insurance and plan number
*
Medication allergies
*
No known drug allergies
Yes, I have a medication allergy
Food allergies or dietary restrictions
*
No known food allergies
Yes, I have a dietary restriction (ie: vegetarian, vegan)
Yes, I have a food allergy
If you answered yes for medication or food allergies, or dietary restrictions, please list below along with explanation (ie: vegetarian, amoxicillin causes rash)
Please list any prescription medications and what it is prescribed for. Please include medication strength and frequency
Please upload a picture of your child
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Primary contact
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Alternative phone number (if applicable)
Please enter a valid phone number.
Drivers license #
If you would like to receive text messages and/or emails for reminders and announcements, please select preferred method of communication
*
Text messages
Emails
Both text and E-mail
I do not wish to receive text or email announcements
Secondary contact
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Alternative phone number (if applicable)
Please enter a valid phone number.
Email
example@example.com
Drivers license #
If you would like to receive text messages and/or emails for reminders and announcements, please select preferred method of communication
Text messages
Emails
Both text and E-mail
I do not wish to receive text or email announcements
Emergency contact (optional)
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
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