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The ARK Foundation of Dayton will also accept this application for Ohio groups!


www.arky.org

Answers in Genesis
Creation Club Application
APPLICATION Please fill in this application and return it to:
Kurt Streutker, Answers in Genesis, PO Box 6330, Florence, KY 41022 (envelope provided in the packet).

Your name: ________________________________________________

Mailing address: ________________________________________________

(City) __________________________ (State) _______________ ( Zip code) ____________

e-mail address: ________________________________________________

FAX: ________________________________________________

Telephone#: (day) _______________________ (evening) __________________


School in which club will be started: ________________________________________________

Principal's (Headmaster's) Name: ________________________________________________

Address of School (support group): ________________________________________________

(City) __________________________ (State) _______________ ( Zip code) ____________

e-mail address: ________________________________________________

FAX: ________________________________________________

Telephone#: (day) _______________________ (evening) __________________


Club's sponsor/mentor: ___________________________________________________-

Mailing address: ________________________________________________

(City) __________________________ (State) _______________ ( Zip code) ____________

e-mail address: ________________________________________________

FAX: ________________________________________________

Telephone#: (day) _______________________ (evening) __________________


- Is the school - Do you already have a Christian club on campus? ____ Yes ____ No

- How many students do you anticipate will attend? _____

- Comments/Questions:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________ Please read and sign the following as your pledge of commitment to this outreach:

I have read the materials sent to me by Answers in Genesis. I agree with the Statement of Faith of Answers in Genesis. Further, I commit myself to train young people to build their foundation on the inerrant Word of God, not on the fallible words of men.

Signed: __________________________________________________________________

Date: __________________________________________________________________