Registration form 2009 Fees: $10. 00 per Pathfinder and Staff Club Name
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- Does your club have the following
- Complete form in triplicate. Mail one (1) copy to the SAC Youth Ministries Department, mail one (1) copy to your Area Coordinator , and keep one (1) copy for your records. (PLEASE TYPE OR PRINT)
- Telephone: (404) 792-0535 Extensions 113 or 112
- (NO PERSONAL CHECKS)
| SOUTH ATLANTIC CONFERENCE
OFFICIAL PATHFINDER CLUB REGISTRATION FORM 2009 Fees: $10.00 per Pathfinder and Staff Club Name____________________________________________________________________ Church Name__________________________________________________________________ Address_______________________________________________________________________ City_______________________ State___ Zip______ Telephone (____)________________ Pastor’s Name_________________________________ Telephone (____)________________
Address_______________________________________________________________________ City_______________________ State___ Zip______ Telephone (____)________________
Deputy Directors: _______________________________________________ Male____ Female____ _______________________________________________ Male____ Female____ _______________________________________________ Male____ Female____ _______________________________________________ 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 [ ] Yes [ ] No Members _____ Male____ Female____ Drum Corp [ ] Yes [ ] No Members _____ Male____ Female____ Bible Bowl Team [ ] Yes [ ] No Members _____ Male____ Female____ Other: ______________________________ Members _____ Male____ Female____ ______________________________ Members _____ Male____ Female____ Additional Information: ______________________________________________________________________________ ______________________________________________________________________________ Complete form in triplicate. Mail one (1) copy to the SAC Youth Ministries Department, mail one (1) copy to your Area Coordinator , and keep one (1) 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 Female (Members) Male (Members) 1. _______________________________ 1. ________________________________ 2. _______________________________ 2. ________________________________ 3. _______________________________ 3. ________________________________ 4. _______________________________ 4. ________________________________ 5. _______________________________ 5. ________________________________ 6. _______________________________ 6. ________________________________ 7. _______________________________ 7. ________________________________ 8. _______________________________ 8. ________________________________ 9. _______________________________ 9. ________________________________ 10. _______________________________ 10. ________________________________ 11. _______________________________ 11. ________________________________ 12. _______________________________ 12. ________________________________ 13. _______________________________ 13. ________________________________ 14. _______________________________ 14. ________________________________ 15. _______________________________ 15. ________________________________ 16. _______________________________ 16. ________________________________ 17. _______________________________ 17. ________________________________ 18. _______________________________ 18. ________________________________ 19. _______________________________ 19. ________________________________ 20. _______________________________ 20. ________________________________ 21. _______________________________ 21. ________________________________ 22. _______________________________ 22. ________________________________ 23. _______________________________ 23. ________________________________ 24. _______________________________ 24. ________________________________ 25. _______________________________ 25. ________________________________ 26. _______________________________ 26. ________________________________ 27. _______________________________ 27. ________________________________ 28. _______________________________ 28. ________________________________ 29. _______________________________ 29. ________________________________ 30. _______________________________ 30. ________________________________ 31. _______________________________ 31. ________________________________ 32. _______________________________ 32. ________________________________ 33. _______________________________ 33. ________________________________ 34. _______________________________ 34. ________________________________ 35. _______________________________ 35. ________________________________
Total Members ______________ Money Order _________ Amount Received ______________ Check _________ Receipt Number ______________ Directory: files files -> Answer True False 2 points Question 2 files -> Integer programming and game theory files -> 4 Integer Programming files -> Bpa vehicle Window Repair Scenario #1 task: Procure vehicle window relacement. Objective files -> Pop Warner History files -> North Carolina Inclusion Initiative Mapping Where Children with ieps are Being Served Purpose files -> Fall 2013 Spring 2014 Program Data: Standard 1 Exhibit 4d files -> Hanban – asia society confucius classrooms network 2010 request for proposal files -> Northern England’s set-jetting locations Download 14.46 Kb. Share with your friends:
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