Pleasant Valley Pathfinder Club

Pleasant Valley Pathfinder Club Membership Application

Please review the document information and then fill out the corresponding fields below. Please fill out the form as completely and accurately as possible (not just the required fields).
Pathfinder club being joined *
Pathfinder Signature: *

Clear
Pathfinder Name *
(Parent's) Email *
example@example.com
Parent/Home Phone (Primary Phone Number) *
Is the phone number you provided a home phone or a cell phone?
Address *

Address

Street Address Line 2

City State

Zip
School *
Grade *
Church
I have been a Pathfinder before

Yes No
(If applicable) I have been a Pathfinder before at:
Leave blank if does not applicable
My dad is a Master Guide

Yes No
My mom is a Master Guide

Yes No
My dad has been a Pathfinder

Yes No
My mom has been a Pathfinder

Yes No
Pathfinder's name *
Applicant Birth Date *

Month Day Year
Date
Signature of father or guardian

Clear
Father's or guardian's occupation
Signature of mother or guardian

Clear
Mother's or guardian's occupation
Date of application *

Month Day Year
Date
Pathfinder Name *
Age *
Date *

Month Day Year
Date
Pathfinder Signature *

Clear
Pathfinder Name *
Parent or Guardian's Signature *

Clear
Date *

Month Day Year
Date
Should be Empty:

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Pleasant Valley Pathfinder Club Membership Application