Adventurer Club Registration - Northeastern Youth Ministries

Director's Name

Name of Director

Director's Email

Director email

Year of Registration

Registration Year

Phone

Phone

Name of Club

Club

Area

Master Guide?

Yes No Is the director a Master Guide?

Name of Church

Church

Street Address

Street Address

City

City

State

State

Zip Code

Zip

Number of Men

Men

Number of Women

women

Total Staff

Total:

Total Staff

Number of Boys

Boys

Number of Girls

Girls

Total Children

Total:

Total Children