Adventure Club Registration 2023 • Flint Hills Bible Church

Adventure Club Registration Year 1 Curriculum

Club Year: 2023-2024

Parent/Guardian 1 Name:

Parent/Guardian 2 Name:

Mailing Address

Mailing City

Phone Number

Mobile Number

Mailing Address Line 2

Mailing State

Mailing Zip Code

Family Church

Email Address

Emergency Contact

*Name and Number of Emergency Contact during Adventure Club Time (other than parents)

First Name

Last Name

Emergency Contact Phone

Child's Name

Name

Birth Date

Nickname

Grade

Gender

Boy

Girl

Please fill out the Family Order Form. Please mark the appropriate boxes for the items your clubber will need. Turn the form in with the money by August 6 so we can have your items available by our kick off on August 9.

Child 1

Name

Trackers

Scouts

Trailblazers

Name Badge Choice *