Growing Loving Followers of Jesus

CLUB REGISTRATION

Due By: September 15, 2024

CHURCH NAME

AREA

CLUB NAME

TYPE OF CLUB

Pathfinders

Adventurers

Master Guide

PASTOR'S NAME

First Name

Last Name

PASTOR'S EMAIL

CLUB DIRECTOR'S INFORMATION

For the 2023-2024 club year I am a:

First Time Director

Returning Director

DIRECTOR'S NAME

First Name

Last Name

DIRECTOR'S EMAIL

DIRECTOR'S ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

ADDITIONAL INFORMATION: (You must provide)

Please Choose One:

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

*All fields must be filled in order to submit the form