ConQuest Club Questionnaire
Club Name_____________________ Date
First Formed_________________
Location: City/Town______________ State/
Province___________________
Contacts
Adult Leader
(1)__________________________________________________
Address_________________________________________________________
Telephone #
e-mail address__________________ Fax #__________________
Adult Leader (2) Address____________________________________________
Address__________________________________________________________
Telephone
#________________________________Fax#___________________
e-mail
address______________________________________________________
Current Status
No. of Club members_________
Meetings held: weekly__— bi-weekly__ monthly__
Meeting place: homes__ parish club house__
community center__ other____________________________________
Regional
Coordinator:______________________________________________
Telephone:
__________________________
e-mail:
______________________________
ConQuest
Letter Of Sponsorship
I
______________________ (name)
verify that the Adult leaders named
above on the ConQuest Club Questionnaire, are individuals that I endorse. The following is a summary of my
endorsement of these leaders: