Application for membership

AMBASSADOR CLUB

Name_______________________________________
______________________________________________________________________________________

Address____________________________________________________________________________________

____________________________________________________________________________________________
_______________________________________________________________________

Birth date ________________________ Sex: ฀M ฀F Baptized SDA ฀Y฀N

Phone__________________________________
__________________________________ e-mail __________________________________________
____________________________________________

I would like to join Ambassador 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 in keeping
with the lifestyle taught by the Seventh-day Adventist Church.

I have been a member of other SDA youth organizations. ฀Y ฀N

If yes, which? ________ Adventurers ________ Pathfinders ________ Master Guide Club

________Youth Federation ________ Youth Emergency Service ________ Search and Rescue

________ Adventist Youth Society ________ Other: ________________________________________

__

Signature _________________________________________________ Date __________________________