Pathfinder Application for Club Membership

Pathfinder Application for Club Membership

2024-2025
I would like to join the Maranatha Warriors Pathfinders Club. It is my commitment that I will attend club meetings, hikes, camping and field trips, missionary adventures, and other club activities. I agree to be guided by the rules of the club and the Pathfinder Pledge and Law.

Pathfinder Pledge

By the grace of God

I will be pure, kind and true

I will keep the Pathfinder Law

I will be a servant of God

And a friend to man

Pathfinder Law

Keep the Morning Watch

Do my honest part

Care for my body

Keep a level eye

Be courteous and obedient

Walk softly in the sanctuary

Keep a song in my heart

Go on God’s errands
Pathfinder's Name*

First NameLast Name
Pathfinder's Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Number*
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Pathfinder Email
example@example.com
School Information

School NameGrade
I have been a previous Pathfinder.*

YesNo
If your answer was yes to the previous question, please state where?

Pathfinder Health Record
Pathfinder's Name*

First NameLast Name
Pathfinder's Date of Birth*

MonthDayYear
Date
Allergies, if any*
Type "None" for no allergies
Restrictions, if any
Type "None" for no restrictions
Insurance Company
Insurance Member ID/Number
Insurance Card

Front & Back
Cancelof
Date of Last Tetanus Booster

MonthDayYear
Date
Emergency Contact Info*

First NameLast Name
Emergency Contact Relation*
Other Relation
Add another emergency contact?*

YesNo
Emergency Contact Info*

First NameLast Name
Emergency Contact Relation*
Other Relation
Physician
Physician's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physician's Number
Please enter a valid phone number.
In case of emergency, I hereby give permission to the physician selected by the club directors to hospitalize, secure proper treatment for, and/to order injection, anesthesia, or surgery for my child. As parent or legal guardian of the applicant, I am in favor of him/her attending club functions and accept the conditions named. The health history stated is correct so far as I know, and the person herein described has permission to engage in all prescribed club activities except as noted. In addition I have read and understand the Emergency Authorization statement and give my full consent to the terms found therein. Permission for photocopying of this health record is granted.
Authorization to Treat a Minor: I (we) the undersigned parent, parents, or legal guardian of*

First NameLast Name
By typing your name and submitting this form, you acknowledge that you have carefully read the Emergency Authorization statement and give your full consent to the terms found therein.

Image Release Agreement

For no compensation, I hereby consent and authorize the Allegheny East Conference of Seventh-day Adventists (“AEC”), or its assigns, to use my name and/or the names of my family members who are minors, as listed below, as well as my likeness, photos, videos and other information (or that of family members who are minors) for the purpose of news releases, advertising, publicity, publication or distribution in any manner whatsoever. I further consent to such use in their present form and to any changes, alterations, or additions thereto. I hereby release the Allegheny East Conference of Seventh-day Adventists from all liability in connection with such uses.
I give my consent for the terms stated in the Image Release Agreement*

YesNo
Fees

Registration Fee: $50.00

Club Dues: $10.00/month

Please remember to pay your registration fee via mafchurch.org/giving under "Pathfinder-Local" under "Local Offering.'
Approval by Parents or Guardian

The applicant is at least 10 years of age or in the 5th grade as a Junior Pathfinder, or in grade 7 as a Teen Pathfinder.

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 or the Allegheny East Conference of Seventh-day Adventists for any accidents which may arise in connection with the activities of the Pathfinder Club.

As the parents or guardians, 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/her leaders.
2. By encouraging the applicant to take an active part in all activities.
3. By attending events to which parents are invited.
4. By assisting club leaders and by serving as leaders if called upon
5. By supplying needed information on the Membership Application and Health Record.
Today's Date

MonthDayYear
Date
Name of Parent/Guardian*

First NameLast Name
By typing your name and submitting this form, you acknowledge that you have carefully read and understood the registration form.
Should be Empty:

Pathfinder Application for Club Membership

Pathfinder Health Record

Image Release Agreement