MIDLANDS ZAMBIA CONFERENCE

YOUTH MINISTRIES ENROLMENT FOR 2016

District Church

A.Y Secretary/ Leader: Sign:

Pastor: Sign:

No Name in full Age Church Club

 MIDLANDS ZAMBIA CONFERENCE
ADVENTIST YOUTH DEPARTMENT
AMBASSADOR CLUB REGISTRATION FORM
MZC 2016

1. FULL NAMES (Surname, First Name and Middle Name) (each letter to be in a box)

2. ADRESS (Each letter or figure to be in a box)

1. Sex: Male Female

Date of Birth: ………………………………..……………………….….

Phone: …………………………………………..…………….…………..
Email . . .……………………..……………………………………………
Baptized YES NO

Name of the church where your membership is

now…………………………………………………..
I would like to join the Ambassadors club at
the……………………………………………………………………………
……………

Seventh day Adventist church. I will attend and actively participate in the club and agree to live
by the guidelines and rules established by the club by keeping with the life style taught by the
Seventh day Adventist church.

I have been a member of the SDA Youth organisation Yes No

If yes which?
Adventurer Pathfinder Ambassador Young Adult
other……………………………………………

Declaration: I will attend and actively participate in the society and agree to live by guidelines
and rules established by the society in keeping with the lifestyle taught by the Seventh-Day
Adventist Church
I have accepted the Adventist youth Aim, Pledge and Motto
Sign…………………………………………………………………………………………………
…………………

PARENT/ GUARDIAN
SIGNATURE…………………………………………….DATE……………………………….

DATE APPROVED:………………………………………………………
 MIDLANDS ZAMBIA CONFERENCE
ADVENTIST YOUTH DEPARTMENT
YOUNG ADULT CLUB REGISTRATION FORM
MZC 2016

3. FULL NAMES (Surname, First Name and Middle Name) (each letter to be in a box)

4. ADRESS (Each letter or figure to be in a box)

2. Sex: Male Female

Date of Birth: ………………………………..……………………….….

Phone: …………………………………………..…………….…………..
Email . . .……………………..……………………………………………
Baptized YES NO

Name of the church where your membership is

now…………………………………………………..
I would like to join the Young Adult club at

the……………………………………………………………………………………
……

Seventh day Adventist church. I will attend and actively participate in the club and agree to live
by the guidelines and rules established by the club by keeping with the life style taught by the
Seventh day Adventist church.

I have been a member of the SDA Youth organisation Yes No

If yes which?
Adventurer Pathfinder Ambassador Young Adult
other……………………………………………

Declaration: I will attend and actively participate in the society and agree to live by guidelines
and rules established by the society in keeping with the lifestyle taught by the Seventh-Day
Adventist Church
I have accepted the Adventist youth Aim, Pledge and Motto
Sign…………………………………………………………………………………………………
…………………

PARENT/ GUARDIAN
SIGNATURE…………………………………………….DATE……………………………….

DATE APPROVED:………………………………………………………
 MIDLANDS ZAMBIA CONFERENCE
ADVENTIST YOUTH DEPARTMENT
YOUNG ADULT CLUB REGISTRATION FORM
MZC 2016

5. FULL NAMES (Surname, First Name and Middle Name) (each letter to be in a box)

6. ADRESS (Each letter or figure to be in a box)

3. Sex: Male Female

Date of Birth: ………………………………..……………………….….

Phone: …………………………………………..…………….…………..
Email . . .……………………..……………………………………………
Baptized YES NO

Name of the church where your membership is

now…………………………………………………..
I would like to join the Master Guide club at

the……………………………………………………………………………………
……

Seventh day Adventist church. I will attend and actively participate in the club and agree to live
by the guidelines and rules established by the club by keeping with the life style taught by the
Seventh day Adventist church.

I have been a member of the SDA Youth organisation Yes No

If yes which?
Adventurer Pathfinder Ambassador Young Adult
other……………………………………………
Declaration: I will attend and actively participate in the society and agree to live by guidelines
and rules established by the society in keeping with the lifestyle taught by the Seventh-Day
Adventist Church
I have accepted the Master Guide Aim, Pledge and Motto

Sign…………………………………………………………………………………………………
…………………

PARENT/ GUARDIAN
SIGNATURE…………………………………………….DATE……………………………….

DATE APPROVED:………………………………………………………
 MIDLANDS ZAMBIA CONFERENCE
ADVENTIST YOUTH DEPARTMENT
ADVENTURER CLUB REGISTRATION FORM
MZC 2016

Child’s Name : ……………………………………………………………………………….

Birth date:…………………………………………………………………………………….
Parent’s Name(s):……………………………………………………………………………
Adress:……………………………………………………………………………………….
Home phone:…………………………………………………………………………………
Church:……………………………………………………………………………………….

PLEDGE:
Because Jesus loves me I will always do my best.
LAW:
Jesus can help me to: be obedient be pure be true, be kind, be respectiful, be attentive, be helpful,
be cheerful, be thoughtful, be reverent
APPLICANT INFORMATION
Check class(s) you have been invested in:
Busy Bee Sun Beam Builder Helping Hand
I …………………………………………………..wish to join………………………………..
(Name of applicant) (club Name)
I will attend meetings, activities, field and other club activities; I will proudly wear adventurer
uniform and obey guidelines. I will be cheerful, honest, kind and courteous.

………………………………………………….
Signature of applicant

Approval/ Consent of Parent/ Guardian

As a parent/ guardian I understand that the adventurer program is an active one which includes
many opportunities for service, adventurer fun and learning. I will support the program by:
 Encouraging my adventurer to take active part in all club meetings and functions
 Attending events of which parents are invited in support of my adventurer
 Assiting club leaders by serving as a helper when needed
 Not holding an individual club staff member liable in the event of an accident/ injury
giving my permission for the above Adventurer to attend Adventurer activities.

…………………………………………………
Signature of parent/guardian

Name: ………………………………………..workplace phone…………………………………

Address:…………………………………………………………………………………………..
 MIDLANDS ZAMBIA CONFERENCE
ADVENTIST YOUTH DEPARTMENT
PATHFINDER CLUB REGISTRATION FORM
MZC 2016

7. FULL NAMES (Surname, First Name and Middle Name) (each letter to be in a box)

8. ADRESS (Each letter or figure to be in a box)

4. Sex: Male Female

Date of Birth: ………………………………..……………………….….

Phone: …………………………………………..…………….…………..
Email . . .……………………..……………………………………………

I would like to join the Pathfinder club at

the……………………………………………………………………………
……………

Seventh day Adventist church. I will attend and actively participate in the club and agree to live
by the guidelines and rules established by the club by keeping with the life style taught by the
Seventh day Adventist church.

I have been a member of the SDA Youth organisation Yes No

If yes which?
Adventurer Pathfinder Ambassador Young Adult
other……………………………………………

Declaration: I will attend and actively participate in the society and agree to live by guidelines
and rules established by the society in keeping with the lifestyle taught by the Seventh-Day
Adventist Church
I have accepted the Pathfinder Aim, Pledge and Motto

Sign…………………………………………………………………………………………………
…………………
PARENT/ GUARDIAN
SIGNATURE…………………………………………….DATE……………………………….

DATE
APPROVED:………………………………………………………………………………………………
…….