2021-22 Club Moriah Registration Form - Adventurer
I would like to join the Moriah Adventurer Club. I will attend meetings, activities, field trips, and other club activities. I will proudly wear my Adventurer uniform and obey club guidelines. I will be cheerful, helpful, honest, kind and courteous.
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Email *
First and Last Name of child *
Gender: *
Home Address: *
City: *
Province: *
Postal Code: *
Date of Birth: *
Age: *
Phone (xxx-xxx-xxxx): *
Membership: *
Name of Previous Club (if applicable):
Club Fees
Every member pays a moderate amount per Adventurer year as part of membership obligations. These fees cover the cost of books, awards, and various supplies/activities. The fees should not cause any member to forego joining the club. Please contact the Adventurer Club Director should you require a sponsorship for your adventurer(s).
Club Dues: $50 per adventurer. Ways to Pay: etransfer to ottawatreasurer@adventistontario.org or church drop off on Sundays from 10 am to 12 noon. Please ensure to put in the comment section of the etransfer or on the envelop that the funds are for the Adventurer registration fee AND the first and last name of your adventurer(s). *
Approval/ Consent of Parent/Guardian:
As parent/guardian, we understand that the Adventurer program is an active one which
includes many opportunities for service, adventure, fun, and learning. I will support the
program by:
1. Encouraging my Adventurer to take an active part in all club meetings and functions.
2. Attending events to which parents are invited in support of my Adventurer.
3. Assisting club leaders by serving as a helper when needed.
4. Not holding any individual club staff member liable in the event of an accidental injury.
5. Giving my permission for the above-named Adventurer to attend Adventurer activities.
Parent /Guardian - Name/Signature *
Date *
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