Pathfinder Membership List This page must be submitted with complete Annual Application to the Dakota Youth Ministries Department to receive your certification. Pathfinder Year: Club Name: Church Name: Director's Name: The following individuals are presently enrolled as members of our club and desire to be registered with the Dakota Conference. Pathfinder #1: Name: Date of Birth: Current Class: Pathfinder #2: Name: Date of Birth: Current Class: Pathfinder #3: Name: Date of Birth: Current Class: Pathfinder #4: Name: Date of Birth: Current Class: Pathfinder #5: Name: Date of Birth: Current Class: Pathfinder #6: Name: Date of Birth: Current Class: Pathfinder #7: Name: Date of Birth: Current Class: Pathfinder #8: Name: Date of Birth: Current Class: Pathfinder #9: Name: Date of Birth: Current Class: Pathfinder #10: Name: Date of Birth: Current Class: Pathfinder #11: Name: Date of Birth: Current Class: Pathfinder #12: Name: Date of Birth: Current Class: Pathfinder #13: Name: Date of Birth: Current Class: Pathfinder #14: Name: Date of Birth: Current Class: Pathfinder #15: Name: Date of Birth: Current Class: Pathfinder #16: Name: Date of Birth: Current Class: Pathfinder #17: Name: Date of Birth: Current Class: Pathfinder #18: Name: Date of Birth: Current Class: Pathfinder #19: Name: Date of Birth: Current Class: Pathfinder #20: Name: Date of Birth: Current Class: Additional Pathfinders: List additional Pathfinder's names, birth dates and classes: Also Required: 1. Club Annual Application Form - A; 2. Staff Annual Registration Form - B; 3. A completed Staff/Volunteer Application Form with Waiver and Consent; 4. Background Check. Submit
