Child's Name:







Birth Date:

Age:

Grade:
Parent(s) Name(s):
Emergency Phone:
Pledge
Because Jesus Loves me, I will always do my best.
Law
Jesus can help me to: Be obedient, Be pure, Be kind, Be respectful, Be attentive, Be helpful, Be cheerful, Be thoughtful,
Be reverent.
Application Information
Class I am registering for:
I, 






want to join the Hinsdale Eagles Adventurer Club. I will attend meetings, activities, field trips, and other club activities. I will proudly wear my Adventurer uniform and obey club guidelines. I will be cheerful, helpful, honest, kind and courteous.
Approval/Consent of Parent/Guardian
As parent/guardian, we understand that the Adventurer program is an active one which includes many opportunities for service, adventure, fun, and learning. I will support the program by:
1. Encouraging my Adventurer to take an active part in all club meetings and functions.
2. Attending events to which parents are invited in support of my Adventurer.
3. Assisting club leaders by serving as a helper when needed.
4. not holding any individual club staff member liable in the event of an accidental injury.
5. Giving my permission for the above-named Adventurer to attend Adventurer activities.
6. I give permission for my child's photograph to be used in connection with club promotional activities.
By filling out the above information you agree to all the terms laid out for becoming a member of the Hinsdale Eagles Adventurer Club.
Please give your registration fees to Heidi Prohaska. You will also need to fill in a medical form. Parent is responsible for purchase of Dress Uniform (i.e. shirt/blouse & pants/jumper).
$50 - New Adventurers (includes, club T-shirt, Dress Uniform accessories)
$35 - Returning Adventurers (no T-shirt)
$45 - Returning Adventurers (new T-shirt)