Fees: $10. 00 per Pathfinder and Staff (if received before November 30) Fees: $15. 00 per Pathfinder and Staff



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SOUTH ATLANTIC CONFERENCE

OFFICIAL PATHFINDER CLUB REGISTRATION FORM
2013-2014

Fees: $10.00 per Pathfinder and Staff (if received before November 30)

Fees: $15.00 per Pathfinder and Staff (if received after November 30)


(Make check payable to: South Atlantic Conference)

(Please Print)

Club Name: _____________________________________


Church Name: ___________________________________

Address: ________________________________________

City: ____________ State: _____ Zip: ________ Telephone: ________________

Pastor’s Name: ____________________ Telephone: ____________
Director’s Name: _____________________________________

E-mail Address _______________________________________

Address: __________________________________

City: _______________ State: _______ Zip _______ Telephone: __________

Club Staff


Deputy Directors:

________________ Male___ Female____

Club Members: _ Male: __ Female: __

TLT Members: _ Male: __ Female: __

Staff Members: _ Male: __ Female: __

Master Guides: _ Male: __ Female: __


Does your club have the following?



Drill Team: _____________

Drum Corp: ____________

Bible Bowl Team: ________



Other:______________________________________
North Georgia Drill Team Members:__ Male: __ Female:__

North Georgia Drum Corp Members:__ Male: __ Female:__
Additional Information:

Registration will end December 31, for the current Pathfinder year

Complete form in triplicate: Mail one (1) copy to the SAC Youth Ministries Department with your church check, mail one (1) copy to your coordinator, and keep (1) one copy for your records. (PLEASE TYPE OR PRINT)

South Atlantic Conference Youth Ministries Department


P.O Box 92447-Morris Brown Station

Atlanta Georgia 30314

Telephone: (404) 792-0535 Extensions 113 or 112

YEARLY PATHFINDER REGISTRATION



South Atlantic Conference
The youth listed below are in the 5th grade or above, and have expressed a desire to be members of the: _______________________ Pathfinder club, which is a club of the South Atlantic Conference, and have demonstrated a willingness to submit to live by the Pathfinder Pledge. I recommend these youth for membership for the 2013-2014 Pathfinder year.
CHURCH _______________________ E-MAIL ______________________________ DIRECTOR’S NAME ____________________


Pathfinder Name

Address

City

St

Zip

Telephone

E-Mail

Sex

Gd

AY Class

SH

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Put an asterisk (*) next to the names of Pathfinders who will be participating in the TLT program **Return by November 30

YEARLY PATHFINDER STAFF REGISTRATION



South Atlantic Conference
The adult listed below are volunteers, 18 years or older and have expressed a desire to be members of and work with the: _______________________ Pathfinder club, which is a club of the South Atlantic Conference, and have demonstrated a willingness to submit to live by the Pathfinder Pledge. The have completed the necessary requirements and I recommend these adults for membership for the 2013-2014 Pathfinder year.
CHURCH _______________________ E-MAIL ______________________________ DIRECTOR’S NAME ____________________


Staff Name

Address

City

St

Zip

Telephone

E-Mail

Sex

VF

Position

SH

*













































































































































































































































































































































































































































































































































































































































































































Put an asterisk (*) next to the names of Staff who will be participating in the MIT/Certification program **Return by November 30

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