2017/2018 Adventurer Registration
Please complete this form for each of your children joining Adventurers. If you are registering more than one child, you will need to complete and submit this form separately for each child. This information will be used for Conference Paperwork to register your child for Adventurers this year.
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Email *
Child's Information
Child's First Name *
Child's Last Name *
Age *
Birthdate *
MM
/
DD
/
YYYY
Grade In School *
Primary Phone Number *
Name Of School Child Attends *
Name Of Church Child Attends *
Is Child Baptized *
Does your child have any allergies or medical concerns we should be aware of? *
If there are none, please write none
Are there any other concerns you think that the Adventurer Leadership team should be aware of? *
If there are none, please write none
What is the best phone number to contact in case of emergency? *
Address Information
Address and Street *
City *
Zip Code *
First Parent/Guardian's Information
First Parent/Guardian's Name (First and Last) *
First Parent/Guardian's Phone Number *
Don't Forget Area Code
First Parent/Guardian's Email Address *
Second Parent/Guardian's Information
The Second Parent information is optional but recommended.
Second Parent/Guardian's Name (First and Last)
Second Parent/Guardian's Phone Number
Don't Forget Area Code
Second Parent/Guardian's Email Address
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