Oklahoma Conference Adventurer Club

Club Certification and Membership Application Note to Director: As you will note in the questions that follow, you will need planning sessions with your staff to be able to complete this application. You will also need to wait until you hold your Registration/Enrollment night. The Registration/Enrollment meeting should be held as soon as possible in the new year. The Adventurer year begins July 1st. Please mail the completed forms to the Conference office by September 1st . Please also note that the real purpose for this application is not only to get your club registered, but it is also to be used as a tool to assist you in planning your major activities for the coming year. It is understandable that plans do change – surely, you would agree that it is better, by far, to have a plan that later must be changed than not to have a plan at all.

PART I: Tell us about your club- 1. Sponsoring Church(es):______________ ________________________________ Club Name_________________________________________________________ School where most of the Adventurers attend:______________________________ 2. Regular Club Meetings (Note - Meetings should be every two weeks for 90 minutes or 3 hrs per month) A. Where do you meet:___________________________________________ B. Day of the week: _________________________ Time: ______________ 3. Club Staff and Leadership: (Note: Ages 18 or older except for Junior Counselors) Name of Staff Position/Title Yrs of Highest AY Class Member Service Completed 1.__________________________ _______________ _______ _____________________ 2.__________________________ ________________ _______ _____________________ 3.__________________________ ________________ _______ _____________________ 4.__________________________ ________________ _______ _____________________ 5.__________________________ ________________ _______ _____________________ 6.__________________________ ________________ _______ _____________________ 7.__________________________ ________________ _______ _____________________ 8.__________________________ ________________ _______ _____________________ 9.__________________________ ________________ _______ _____________________ 10.__________________________ ________________ _______ _____________________ 11.__________________________ ________________ _______ _____________________ 12.__________________________ ________________ _______ _____________________ 13.__________________________ ________________ _______ _____________________ 14__________________________ ________________ _______ _____________________ 15__________________________ ________________ _______ _____________________ 16.__________________________ ________________ _______ _____________________ (Note: If more space is needed, use addl. pages. Be certain that you have submitted an individual Volunteer Service Information Form for each staff member.) 1

PART II: Tell us about your Plans – Finance: 1. Cost to Adventurers: A. How much is your club's Registration Fee (Once a year approx) $_____________________ B. How much are Dues? $______ per _________________ (week, month or quarter) C. Do you take an offering at meetings in place of dues?_______________ 2. Have you developed a budget for this coming year? __________________ 3. Has or will it be approved by your church or sponsoring organization?_____________ Programming: 4. List at least one honor that you plan to teach this year that will emphasize: A. Mental Development _______________________________________ B. Spiritual Development______________________________________ C. Physical Development ______________________________________ D. How many total honors do you plan on each Adventurer earning? ___________ (Note: 4-6 honor per year is an acceptable number.) 5. Outreach Activities - List the activities and hopeful starting dates: Outreach Activity Hopeful Starting Date A. Visit Nursing Home ________________________ B. ___________________________________ ________________________ C. ___________________________________ ________________________ D. ___________________________________ ________________________ (Note: The Adventurer Manual has outreach ideas listed on page 22.) 6. When will you have an Induction Ceremony for new members? Date________________ 7. When do you hope to have your first club field trip? Date________________________ 8. Have you & staff given consideration to offering a Family Network/Parent's Night? ______ (See enclosed The Family and The Adventurer Club reprints taken from the Adventurer Manual) 9. If so, when/where/how will you hold it?_______________________________________ 10. Will your club participate in any service projects for your community, church or school this coming year?________________________________________________________ 11. When will you hold Adventurer Sabbath for your church?________________________ Growth Goals: 12. How many Adventurers were in your club last year? ___________ 13. How many do you aim to recruit this year?___________________ 14. How many parents are involved?___________________________ 15. List at least two of your goals for this year: A._________________________________________________________________ B._________________________________________________________________

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PART III: Unit Structure and Organization (NOTE: Adventurers must be between ages 6 & 9.) GIRLS' UNIT A. Unit Number ________ Unit Name___________________________________ Counselor____________________________________________________ Adventurer Names Birthdate Student at SDA School? (yes/no) 1. ____________________________ ____________ _______________ 2. ____________________________ ____________ _______________ 3. ____________________________ ____________ _______________ 4. ____________________________ ____________ _______________ 5. ____________________________ ____________ _______________ 6. ____________________________ ____________ _______________ 7. ____________________________ ____________ _______________ 8. ____________________________ ____________ _______________ B. Unit Number ________ Unit Name___________________________________ Counselor____________________________________________________ Adventurer Names Birthdate Student at SDA School? (yes/no) 1. ____________________________ ____________ _______________ 2. ____________________________ ____________ _______________ 3. ____________________________ ____________ _______________ 4. ____________________________ ____________ _______________ 5. ____________________________ ____________ _______________ 6. ____________________________ ____________ _______________ 7. ____________________________ ____________ _______________ 8. ____________________________ ____________ _______________ C. Unit Number ________ Unit Name___________________________________ Counselor____________________________________________________ Adventurer Names Birthdate Student at SDA School? (yes/no) 1. ____________________________ ____________ _______________ 2. ____________________________ ____________ _______________ 3. ____________________________ ____________ _______________ 4. ____________________________ ____________ _______________ 5. ____________________________ ____________ _______________ 6. ____________________________ ____________ _______________ 7. ____________________________ ____________ _______________ 8. ____________________________ ____________ _______________ NOTE: If more space is needed, please photocopy this page. Please List EAGER BEAVERS SEPERATELY

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BOYS' UNIT A. Unit Number ________ Unit Name___________________________________ Counselor____________________________________________________ Adventurer Names Birthdate Student at SDA School? (yes/no) 1. ____________________________ ____________ __________________ 2. ____________________________ ____________ __________________ 3. ____________________________ ____________ __________________ 4. ____________________________ ____________ __________________ 5. ____________________________ ____________ __________________ 6. ____________________________ ____________ __________________ 7. ____________________________ ____________ __________________ 8. ____________________________ ____________ __________________ B. Unit Number ________ Unit Name___________________________________ Counselor____________________________________________________ Adventurer Names Birthdate Student at SDA School? (yes/no) 1. ____________________________ ____________ __________________ 2. ____________________________ ____________ __________________ 3. ____________________________ ____________ __________________ 4. ____________________________ ____________ __________________ 5. ____________________________ ____________ __________________ 6. ____________________________ ____________ __________________ 7. ____________________________ ____________ __________________ 8. ____________________________ ____________ __________________ C. Unit Number ________ Unit Name___________________________________ Counselor____________________________________________________ Adventurer Names Birthdate Student at SDA School? (yes/no) 1. ____________________________ ____________ __________________ 2. ____________________________ ____________ __________________ 3. ____________________________ ____________ __________________ 4. ____________________________ ____________ __________________ 5. ____________________________ ____________ __________________ 6. ____________________________ ____________ __________________ 7. ____________________________ ____________ __________________ 8. ____________________________ ____________ __________________ NOTE: If more space is needed, please photocopy this page.) Please List EAGER BEAVERS SEPERATELY

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Oklahoma Conference Adventurer Club Membership Application

Sponsoring Church____________________________________Club Name_________________ Pastor_____________________________________________________ Elected Club Director__________________________________________ Mailing Address______________________________________________E-mail_______________ Street City State Zip Home Phone____________________ Work Phone___________________ ============================================================= The Philosophy of Adventurers

The Adventurer program was created to assist parents in their important responsibilities as a child's primary teachers and evangelizers. The program aims to strengthen the parent/child relationship and further the child's development in spiritual, physical, mental and social areas. In this way the church, home and school can work together with the parent to develop a mature, happy child. The church's greatest resource is our children; therefore, it is imperative that as a church we meet the challenge to provide a program for our children during their early, formative years. We want right habits, thoughts, motives, dispositions, and attitudes to be established. (Adventurer Manual, page XI). The Adventurer Club is a Seventh-day Adventist Church sponsored ministry open to all children grades 1-4 (ages 6-9) who agree to keep the Adventurer

Pledge and Law. The Adventurer children and parents are encouraged to attend all meetings and functions sponsored by the Adventurer Club. Your Commitment to Adventurers We, the undersigned have read, understand, and are in full agreement with the above Philosophy of Adventurers and agree to support our club through those means with which the Lord has blessed this church, including finances, staff volunteers, securing a place to meet, transportation on outings, and other such needs as may arise in the fulfillment of this ministry, and to assist and support the work of the Adventurer ministry in this conference and around the world.

================================================================================== Signatures Church Pastor________________________ Church Clerk ___________________________ Head Elder ________________________ Club Director___________________________ Date________________ Note to Director: This Adventurer Club Membership Application is sent to every club in the Oklahoma Conference each year. The purpose is two-fold: 1) to allow the church leadership to indicate their support of and commitment to the local Adventurer Club and 2) to enable the local club to receive the benefits of Conference membership. Please return this form by September 1 to the Oklahoma Conference Adventurer Dept., P.O. Box 32098, Oklahoma City, OK 73123.

EAGER BEAVER PART V: Unit Structure and Organization (NOTE: Eager Beavers must be between ages 4 & 5) GIRLS' UNIT A. Unit Number ________ Unit Name_____________________________________ Counselor_______________________________________________________ Eager Beaver Names Birthdate 1. ____________________________ _____________________ 2. ____________________________ _____________________ 3. ____________________________ _____________________ 4. ____________________________ _____________________ 5. ____________________________ _____________________ 6. ____________________________ _____________________ 7. ____________________________ _____________________ 8. ____________________________ _____________________ B. Unit Number ________ Unit Name_____________________________________ Counselor_______________________________________________________ Eager Beaver Names Birthdate 1. ____________________________ _____________________ 2. ____________________________ _____________________ 3. ____________________________ _____________________ 4. ____________________________ _____________________ 5. ____________________________ _____________________ 6. ____________________________ _____________________ 7. ____________________________ _____________________ 8. ____________________________ _____________________ C. Unit Number ________ Unit Name_____________________________________ Counselor_______________________________________________________ Eager Beaver Names Birthdate 1. ____________________________ _____________________ 2. ____________________________ _____________________ 3. ____________________________ _____________________ 4. ____________________________ _____________________ 5. ____________________________ _____________________ 6. ____________________________ _____________________ 7. ____________________________ _____________________ 8. ____________________________ _____________________ NOTE: If more space is needed, please photocopy this page.

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EAGER BEAVER BOYS' UNIT A. Unit Number ________ Unit Name____________________________________ Counselor______________________________________________________ Eager Beaver Names Birthdate 1. ____________________________ _____________________ 2. ____________________________ _____________________ 3. ____________________________ _____________________ 4. ____________________________ _____________________ 5. ____________________________ _____________________ 6. ____________________________ _____________________ 7. ____________________________ _____________________ 8. ____________________________ _____________________ B. Unit Number ________ Unit Name____________________________________ Counselor______________________________________________________ Eager Beaver Names Birthdate 1. ____________________________ _____________________ 2. ____________________________ _____________________ 3. ____________________________ _____________________ 4. ____________________________ _____________________ 5. ____________________________ _____________________ 6. ____________________________ _____________________ 7. ____________________________ _____________________ 8. ____________________________ _____________________ C. Unit Number ________ Unit Name____________________________________ Counselor______________________________________________________ Eager Beaver Names Birthdate 1. ____________________________ _____________________ 2. ____________________________ _____________________ 3. ____________________________ _____________________ 4. ____________________________ _____________________ 5. ____________________________ _____________________ 6. ____________________________ _____________________ 7. ____________________________ _____________________ 8. ____________________________ _____________________ NOTE: If more space is needed, please photocopy this page.

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Parent Consent/Authorization For the following Adventurer activity: Activity Date ______/________/________ Name of Adventurer Club____________________________________________ Name of Adventurer________________________________________________ Activity__________________________________________________________ Time: Leave_________________ Return___________________(Approx) Club Director______________________________ Phone______________ As the parent/guardian of the Adventurer named above I give my permission for him/her to participate in the above activity and do not hold the Adventurer club, the SDA church or those in charge of the activity responsible in the event of an accident. ________________________________________ Date_______/_____/_______ Signature of Parent/Guardian ------------------------------------------------------------------------------------------------------------------------------- Parent Consent/Authorization For the following Adventurer activity: Activity Date ______/________/________ Name of Adventurer Club____________________________________________ Name of Adventurer________________________________________________ Activity__________________________________________________________ Time: Leave_________________ Return___________________(Approx) Club Director______________________________ Phone______________ As the parent/guardian of the Adventurer named above I give my permission for him/her to participate in the above activity and do not hold the Adventurer club, the SDA church or those in charge of the activity responsible in the event of an accident. ________________________________________ Date_______/_____/_______ Signature of Parent/Guardian

Oklahoma Conference Local Club Commitment

On behalf of the ____________________________ Club, I will do my utmost to fulfill the (Name of club) requirement of conference membership. Our club will: 1) Operate an active club program for at least nine months per Adventurer year. 2) Participate in conference-planned activities. 3) Submit to the conference adventurer department the following: a. Adventurer club program outline for the year, within four weeks of the initial club meeting for the Adventurer year. b. Adventurer club annual budget c. Adventurer club membership (names and addresses) at the beginning of each Adventurer year. An updated list is requested in January. 4) Provide Adventurer leadership growth for club staff (Encourage youth leadership training, Master Guide, Adventurer/Pathfinder Leadership work, Basic (10 hr) Training Seminar). 5) Plan for satisfactory Adventurer club attitude per semi-annual evaluation survey. 6) Calendar progression in the Adventurer class requirements. 7) Send Adventurer club monthly report by the fifth of the month throughout the year. 8) Return the completed club application form (with staff Volunteer Service Information Forms). _________________________________________ __________________________ Club Director's Signature Date Number of Adventurer & staff members _________________X 4.00 = ________________ Number of Eager Beavers & staff members _______________X 4.00= _________________ * Please send a check payable to the Oklahoma Conference for the above amount by September 1st with your complete application. Please note on bottom left of your check that it is for Adventurers. (The $4.00 charge is the all-inclusive "package plan" price.)