Adventurer Club Registration Form

PLEASE NOTE: This form is for local Adventurer Club leadership to register a club with the Alberta Conference. If you are an individual or family wanting to register your children in a local club, please get in touch with your local club leadership for more information.

AB Adventurer Yearly Club Registration Form

Club Name

Region

If other, please explain

Meeting Time

Describe if Multiple/Varied Meeting Dates/Times

Meeting Location

Start Date of Program Year

Club Induction Date

Club Investiture Date

Church Name

Church Pastor Name

Church Pastor Email

Church Communication/Bulletin Person Name

Church Communication/Bulletin Person Email

Name of Person Submitting This Form

Phone Number of Person Submitting This Form

Title/Position of Person Submitting This Form

Email of Person Submitting This Form

[Optional] Please subscribe me to the Alberta Conference Uniform Ministries Email List. I understand that I can unsubscribe at any time. By checking this optional box, I agree to this website’s Privacy Policy.

Use the “+” symbol to add additional staff members.

Registered Club Staff

First Name	Last Name	Phone	Email	Current VSS Date (DD/MM/YYYY)	Current First Aid Certification	Club Office

PLEASE NOTE:

The VSS (Vulnerable Sector Search) must include a criminal record check and be less than 3 years old. Please indicate the date it was issued.
Not all staff members are required to have a First Aid certification. Contact the conference for more information about what would be a good ratio of first aid certified staff members to club members.

Use the “+” symbol to add additional club members.

Registered Adventurers

First Name	Last Name	Gender	Age	Level

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