Pathfinder Club Membership Application
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Pathfinder Club Membership Application

Pathfinder club membership application
Name: _____________________________The following information will be used for all club activities for the 20Pathfinder year.Please note on the event permission form if there are any changes from this information.All events will be sponsored by the GeorgiaCumberland Conference and/or the Collegedale SDA Church, Collegedale, Tennessee.I do hereby state that said child is physically and medically able to participate in the club activities.Ido hereby release and discharge the Collegedale SDA Church and its authorized representatives and staff from all liability of any kind and character upon any claim, demand, or cause of action which might be asserted in behalf of said minor and/or myself against the Collegedale SDA Church, representatives, or staff.

Furthermore, in the event of an accident, if said staff or representatives are unable to contact the undersigned, I hereby grant permission to said staff or representative to administer first aid, and/or to take the applicant to a medical facility for treatment.Signed Name to applicant checkany OTC (over the counter) meds that the staff is allowed to give the Pathfinder.Ibupro(headache, muscleacheor pain)Antibiotic ointment (wound care)Acetaminophen (as needed headache or painCortisone cream (insect bites, poisonivy)Robitussin (cough)Benadryl caplets (insect bite, allergyLoperamide Hydrochloride 2 mg (diarrhea)Caladryl cream (itchingVisine or clear eye drops (itching eyes)Cough Drops (cough)Mylanta, Maalox or Tums (upset stomach)Special Instructions currently taken by the applicant and any allergic reactions for this applicant must be listed below along with the applicant’s doctor’s name and phone number.If Pathfinder has own medications they must be kept and administered by staff.Medications _________________________.
Pathfinder club membership application
Pathfinder club membership application (2 pages)

Revised January 2007 Pathfinder ClubPathfinder ClubPathfinder ClubPathfinder ist ist ist Church in Ontario, CanadaChurch in Ontario, CanadaChurch in Ontario, CanadaChurch in Ontario, Canada

Membership ApplicationMembership ApplicationMembership ApplicationMembership Application

I would like to join the Club.

I will attend club meetings, campouts, missionary adventures, and other club outings and activities.

I agree to be guided by the rules of the club and the Pathfinder Pledge and Law
pathfinder club membership application
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Pathfinder Club Membership Application
I would like to join the _____ Pathfinder Club. I am in the 5th grade or above. I will attend club meetings, hikes, camping and field trips ... (storage.cloversites.com)
.Name: ______________________________ Sex: Male

Female Email: _____________________
Address: _________________________ Code: ________________

Date of Birth: _______________ Age:

______ Phone: Payment:

$____________ the grace of God,

Applying for Membership

1.Keep the morning watch.I will be pure, kind

Renewing Membership

2.

Do my honest part.

and true.

Transferring From Another Club

3.Care for my body.I will keep the pathfinder

4.Keep a level eye.
Law. 5.

Be courteous and

I will be a servant of God Name of Club

obedient.

and a friend to man 6.Walk softly in the
sanctuary.7.Keep a song in my heart.

____________________________ 8.Go on Gods errands.Pathfinder Signature

Approval by Parents or Guardians: We hereby signify the applicant is at least 10 years of age.

We have read the pathfinder Pledge and Law and are willing and desirous that the applicant become a pathfinder.

We will assist the applicant in observing the rules of the Pathfinder organization.

In consideration of the benefits derived from membership, we hereby voluntarily waive any claim against the club of the ________________________ Conference of Seventh-day Adventist for any accidents, which may arise in connection with the activities of the Pathfinder club.As parents we understand that the Pathfinder Club program is an active one for the applicant.

It includes many opportunities for service, adventure, and fun.

We will cooperate: 1.

By learning how we can assist the applicant and his leaders 2.By encouraging the applicant to take an active part in all club activities 3.By attending events to which parents are invited.4.By supplying needed information on the Membership Application and Health Record.

________________________________ of Father or GuardianSignature of Mother or GuardianDate of Application: ________________
Pathfinder club membership application (2 pages)

Revised January 2007 Pathfinder Name: ___________________________ My Dad is a Master Mother is a Master Guide

Yes no My Dad has been a Pathfinder

Yes no My Mother has been Use Only
Check (

) box when completed.

Membership Application (this form) Health & Medical Record Uniform Arrangements Pathfinder Record Form AY Class into Preparatory Membership _____________ Preparatory Membership _____________ into Full Membership

_____________ of Club Director

Signature of Club Director .
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