Pathfinder Club Registration

The Club Registration Fee is $125.00 per Pathfinder Ministry
Payment By Check: Please make checks payable to the “Northeastern Conference Youth Ministries” and note “Pathfinder Club Registration” in the memo.
Mail to:
Northeastern Conference Youth Ministries
115-50 Merrick Blvd.,
Jamaica, NY 11434.
Payment By Credit Card: Please call the NEC Office at 718-291-8006 x2244

Director Name

Name of Director

Address

City

State

Zip Code

Club Name

Other Club Name

if your club name is not listed, please add it here so we can update our database.

Church Name

Area

How many do you have?

# of Friends

# of Companions

# of Explorers

Junior Pathfinder Classes

Total:

Total Pathfinders

Total:

# of Trail Friends

# of Trail Companions

# of Wilderness Explorers

# of Rangers

# of voyagers

# of Guides

Senior Pathfinder Classes

Total:

# of Wilderness Rangers

# of Frontier Voyagers

# of Frontier Guides

# of Level 1 TLTs

TLT

# of Level 2 TLTs

TLT

# of Level 3 TLTs

TLT

# of Level 4 TLTs

TLT

Total # of TLTs

Total:

TLT

Person One Name

Person One Email

Phone Number

Invested Master Guide?

Yes

Deadline for the submission of this form with appropriate funds is January 1^st of the calendar year. A late fee will be added to the fee after this date.

Please send this form and your club registration fee of $125 per club to:
Northeastern Conference Youth Ministries Officer 115-50 Merrick Blvd.
Jamaica, NY 11434

** Please make check payable to the Northeastern Conference Youth Ministries
** Note: Pathfinder Federation Registration in the memo.
** Make three copies and submit one to the Youth Ministry Office, one to Area Coordinator, and keep one for your records.

Total:

Total:

Total:

Total:

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