2019 Wallsend Adventurer Club Registration
Please complete the details below for each of the children you would like to register for Adventurers 2019.
Adventurer (Child) Details
Adventurer Name *
First and Last Name
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Adventurer Level (Class) *
Adventurer Status *
New membership also includes Sash, T-Shirt, and Hat
Adventurer Medical / Emergency Information
Medical conditions
Please advise of any medical conditions that we should be aware of. For example, but not limited to (asthma, allergies, epilepsy)
Your answer
Emergency Contact Name *
Your answer
Emergency Mobile Phone Number *
Your answer
Parent / Guardian 1 Contact Details
Parent / Guardian 1 *
First and Last Name
Your answer
Parent / Guardian 1 Address *
Your answer
Parent / Guardian 1 Suburb *
Your answer
Parent / Guardian 1 Post Code *
Your answer
Parent / Guardian 1 Mobile Phone *
Your answer
Parent / Guardian 1 Email Address *
Your answer
Parent / Guardian 2 Contact Details (if applicable)
Parent / Guardian 2
First and Last Name
Your answer
Parent / Guardian 2 Mobile Phone
Your answer
Parent / Guardian 2 Email Address
Your answer
Consent & Release
Adventurer Pledge

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

Adventurer Law

-Be Obedient
-Be Attentive
-Be Pure
-Be Helpful
-Be True
-Be Cheerful
-Be Kind
-Be Thoughtful
-Be Respectful
-Be Reverent
I would like to join the Wallsend Seventh-Day Adventist Church Adventurers Club *
I will attend club meeting, field activities and trips, missionary adventures and other club activities. I agree to obey the rules of the club and the Adventurer Pledge and Law.
Required
Photographic Consent *
I give consent for my child to be photographed. I give consent for these photographs to be used for (please indicate below)
I agree to my child attending the club on this understanding *
As a parent / guardian of the Adventurer detailed on this form, I approve their wish to join the Wallsend Seventh-Day Adventist Church Adventurers Club. I will support the club in all activities.
Required
Adventurer Fees *
I agree to, or have paid the registration fee as itemised above into the Wallsend Adventurer Account. BSB: 032509 Acct: 271897
Required
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