<p> SOUTH ATLANTIC CONFERENCE OFFICIAL PATHFINDER CLUB REGISTRATION FORM 2009</p><p>Fees: $10.00 per Pathfinder and Staff</p><p>Club Name______Church Name______Address______City______State___ Zip______Telephone (____)______Pastor’s Name______Telephone (____)______</p><p>Director’s Name______Address______City______State___ Zip______Telephone (____)______</p><p>Club Staff Deputy Directors: ______Male____ Female______Male____ Female______Male____ Female______Male____ Female____</p><p>Club Members _____ Male____ Female____ TLT Members _____ Male____ Female____ Staff Members _____ Male____ Female____ Master Guides _____ Male____ Female____ Does your club have the following? Drill Team [ ] Yes [ ] No Members _____ Male____ Female____ Drum Corp [ ] Yes [ ] No Members _____ Male____ Female____ Bible Bowl Team [ ] Yes [ ] No Members _____ Male____ Female____ Other: ______Members _____ Male____ Female______Members _____ Male____ Female____ Additional Information: ______</p><p>Complete form in triplicate. Mail one (1) copy to the SAC Youth Ministries Department, mail one (1) copy to your Area Coordinator , and keep one (1) copy for your records. (PLEASE TYPE OR PRINT)</p><p>South Atlantic Conference Youth Ministries Department P. O. Box 92447 – Morris Brown Station Atlanta, Georgia 30314 Telephone: (404) 792-0535 Extensions 113 or 112 Female (Members) Male (Members)</p><p>1. ______1. ______2. ______2. ______3. ______3. ______4. ______4. ______5. ______5. ______6. ______6. ______7. ______7. ______8. ______8. ______9. ______9. ______10. ______10. ______11. ______11. ______12. ______12. ______13. ______13. ______14. ______14. ______15. ______15. ______16. ______16. ______17. ______17. ______18. ______18. ______19. ______19. ______20. ______20. ______21. ______21. ______22. ______22. ______23. ______23. ______24. ______24. ______25. ______25. ______26. ______26. ______27. ______27. ______28. ______28. ______29. ______29. ______30. ______30. ______31. ______31. ______32. ______32. ______33. ______33. ______34. ______34. ______35. ______35. ______</p><p>Amount Enclosed: $______(NO PERSONAL CHECKS)</p><p>OFFICE USE ONLY OFFICE USE ONLY</p><p>Date Received ______Club ______State _____ Total Members ______Money Order ______Amount Received ______Check ______Receipt Number ______</p>