Adventurer Club Yearly Staff Registration

Indiana Conference Adventurer Staff Registration
The Indiana Conference Executive Committee voted to require all volunteers must have a backgroud check. Please go to Indiana Conference Volunteer Registation and follow the directions to register as a volunteer.
Church you are volunteering for?*
Church not listed above? enter here
Where are your meetings?*
Director's Name*

First NameLast Name
Director's E-mail*
Director's Address*

Street Address

P.O. Box if applies

CityState

Zip Code
Director's Mobile Number*

Area CodePhone Number
Director Alternate Phone Number

Area CodePhone Number
Will this staff member be driving children other than their own?

NoYes
Adventurer Club Staff Volunteers
1. Staff's Name*

First NameLast Name
1. E-mail*
example@example.com
1. Address*

Street Address

P.O. Box

CityState

Zip Code
1. Mobile Number*

Area CodePhone Number
1. Phone Number

Area CodePhone Number
1. Will this staff member be driving children other than their own?

NoYes
Has this Volunteer completed the required background check?

yesno
2. Staff Name

First NameLast Name
Staff's Position?
2. E-mail
example@example.com
2. Address

Street Address

P.O. Box

CityState

Zip Code
2. Mobile Number

Area CodePhone Number
2. Phone Number

Area CodePhone Number
2. Will this staff member be driving children other than their own?

NoYes
Has this Volunteer completed the required background check?

yesno
3. Staff Name

First NameLast Name
Staff's Position?
3. E-mail
example@example.com
3. Address

Street Address

P.O. Box

CityState

Zip Code
3. Mobile Number

Area CodePhone Number
3. Phone Number

Area CodePhone Number
3. Will this staff member be driving children other than their own?

NoYes
Has this Volunteer completed the required background check?

yesno
4. Staff Name

First NameLast Name
4. Staff's Position?
4. E-mail
example@example.com
4. Address

Street Address

P.O. Box

CityState

Zip Code
4. Mobile Number

Area CodePhone Number
4. Phone Number

Area CodePhone Number
4. Will this staff member be driving children other than their own?

NoYes
Has this Volunteer completed the required background check?

yesno
5. Staff Name

First NameLast Name
5. Staff's Position?
5. E-mail
example@example.com
5. Address

Street Address

P. O. Box

CityState

Zip Code
5. Mobile Number

Area CodePhone Number
5. Phone Number

Area CodePhone Number
5. Will this staff member be driving children other than their own?

NoYes
Has this Volunteer completed the required background check?

yesno
6. Staff Name

First NameLast Name
6. Staff's Position?
6. E-mail
example@example.com
6. Address

Street Address

P.O. Box

CityState

Zip Code
6. Mobile Number

Area CodePhone Number
6. Phone Number

Area CodePhone Number
6. Will this staff member be driving children other than their own?

NoYes
Has this Volunteer completed the required background check?

yesno
Please fill this form out as many times as necessary to get all of your volunteers registered. Also, please confirm that everyone goes to Indiana Conference Volunteer Registation Background check and follow the directions. It is required that they indicate if they are going to be driving children other than their own. We don't want anyone driving children with a bad driving record. Thank you for keeping our kids safe!
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Indiana Conference Adventurer Staff Registration

Adventurer Club Staff Volunteers