The Club Registration Fee is $65.00 per Adventurer Ministry

Payment By Check: Please make checks payable to the “Northeastern Conference Youth Ministries” and note “Adventurer Club Registration” in the memo.

Mail to :
Northeastern Conference Youth Ministries
115-50 Merrick Blvd.,
Jamaica, NY 11434

Payment By Credit Card: Please call the NEC Office at 718-291-8006 x2244

Name of Director
Director email
Registration Year
Phone
Club
Is the director a Master Guide?
Church
Street Address
City
State
Zip
Men
women

Total:

Total Staff
Boys
Girls

Total:

Total Children