Dakota Conference

Sharing the unchanging love of Jesus in a changing world.

Staff Annual Registration Form - B

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 individuals listed below are presently working as officers and staff of our club and desire to be registered with the Dakota Conference for the current year.

Individual #1:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #2:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #3:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #4:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #5:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #6:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #7:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #8:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #9:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders:

Individual #10:

Name:

Address:

Title: (Director, Deputy Director, Secretary, etc)

Master Guide:

Yes No

Years served in Pathfinders: