Pathfinder Club Registration Form
Equipping Youth for Service, Leadership, and Adventure
Complete the form below to register your church's Pathfinder Club. Registration deadline is JANUARY 31ST 2026.
Date
*
-
Month
-
Day
Year
Date
Club Name
*
Other Club Name
*
Church Name
*
Area
*
Please Select
BRONX-MANHATTAN
BROOKLYN NORTH
BROOKLYN SOUTH-STATEN ISLAND
FRANCO-HAITIAN
HUDSON VALLEY-CAPITAL CITY
QUEENS
LONG ISLAND
ROCKLAND-WESTCHESTER
WESTERN NEW YORK
NEW ENGLAND NORTH
NEW ENGLAND NORTH HISPANIC
NEW ENGLAND PORTUGUESE
NEW ENGLAND SOUTH
NEW ENGLAND SOUTH HISPANIC-LUSO BRASILEIRA
SOUTHERN NEW YORK HISPANIC
Registration Year
*
Director's Full Name
*
First Name
Last Name
Is the Director an Invested Master Guide?
*
YES
NO
Church Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Director's Email
*
example@example.com
Director's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
FRIEND (QTY)
*
TRAIL FRIEND (QTY)
*
COMPANION (QTY)
*
TRAIL COMPANION (QTY)
*
EXPLORER (QTY)
*
WILDERNESS EXPLORER (QTY)
*
RANGER (QTY)
*
WILDERNESS RANGER (QTY)
*
VOYAGER (QTY)
*
FRONTIER VOYAGER (QTY)
*
GUIDE (QTY)
*
FRONTIER GUIDE (QTY)
*
TOTAL PATHFINDERS (QTY)
*
LEVEL 1 TLT (QTY)
*
LEVEL 2 TLT (QTY)
*
LEVEL 3 TLT (QTY)
*
LEVEL 4 TLT (QTY)
*
TOTAL TLTS (QTY)
*
Invested Master Guide Personnel #1 Name
First Name
Last Name
Invested Master Guide Personnel #1 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Invested Master Guide Personnel #1 Email
example@example.com
Invested Master Guide Personnel #2 Name
First Name
Last Name
Invested Master Guide Personnel #2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Invested Master Guide Personnel #2 Email
example@example.com
Invested Master Guide Personnel #3 Name
First Name
Last Name
Invested Master Guide Personnel #3 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Invested Master Guide Personnel #3 Email
example@example.com
Invested Master Guide Personnel #4 Name
First Name
Last Name
Invested Master Guide Personnel #4 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Invested Master Guide Personnel #5 Name
First Name
Last Name
Invested Master Guide Personnel #4 Email
example@example.com
Invested Master Guide Personnel #5 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Invested Master Guide Personnel #5 Email
example@example.com
Pastor's Name
*
First Name
Last Name
Pastor's Email
*
example@example.com
Pastor's Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submitter's Name
*
First Name
Last Name
Submitter's Email
*
example@example.com
Signature of Submitter
*
Check Payment
Pay by mail. I will mail a church check or certified check for the amount of $150 to the AYM office made payable to the “Northeastern Conference Youth Ministries” and note “Pathfinder Club Registration” in the memo. If sending a certified check, also add the name of your Church in the memo section. No personal checks will be accepted. Mail to: Northeastern Conference Youth Ministries, 115-50 Merrick Blvd., Jamaica, NY 11434.
E-Payment
E-Payment
Pathfinder Club Registration Fee
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Late Pathfinder Club Registration Fee
$
150.00
Quantity
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Credit Card
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