Current
Events 		Creation
Clubs 		ARK
Support 		Application AiG Statement
of Faith 		Sponsor
Letters
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: __________________________________________________________________