I would like to join the Kerrville Coyotes Pathfinder Club. I will attend Club meetings, hikes, camping and field trips, missionary adventures and other club activities. I agree to be guided by the Code of Conduct of the Club and the Pathfinder Pledge and Law. Please type/sign your name in the space below : Pathfinder Name Phone Address Afghanistan Albania Algeria Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Terr. Bonaire (Dutch Caribbean) Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Isl. & Mcdonald Isl. Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, D P R Korea, Republic of Kuwait Kyrgyzstan Lao People's D R Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, Former Y R of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, O Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent & Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & S S Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States M O Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Are you active in other programs (Choir, Band, 4-H, etc)? If so, please list below: Name of Home Church Have you been Baptized? Yes No If yes, date Membership Applying for Membership Renewing Membership Transferring from another Club Pathfinder's Email Name of Previous Clubs Inducted Yes No Father was a Pathfinder Yes No Mother was a Pathfinder Yes No Father is a Master Guide Yes No Mother is a Master Guide Yes No Approval by Parents or Guardians The applicant is at least 10 years old or in the 5th grade (or equivalent) as a Junior Pathfinder, or 13 years old, or the 7th grade (or equivalent) as a teen Pathfinder. Yes No 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 Texas Conference of Seventh-day Adventists for any accidents which may arise in connection with the activities of the Pathfinder Club. Yes No As parents we understand that the Pathfinder Club Program is an active one for the applicant. It includes many opportunities for service, adventure, and fun. By answering each item we acknowledge that we will cooperate: By learning how we can assist the applicant and his/her leaders. Yes No By encouraging the applicant to take an active part in all activities. Yes No By attending events to which parents are invited. Yes No By assisting Club leaders and by serving as leaders if called upon. Yes No By supplying needed information on the Membership Application as well as Health and Medical Form. Yes No By making sure the applicant is present and on time to all functions. Yes No Parent/Guardian Please Date & Sign below: Pathfinder's Name below: Parent/Guardian's Name Parent/Guardian's Phone Parent/Guardian's Email I will be prepared to pay the $30 Registration Fee, plus $70 for Field Uniforms (3 Club T-shirts at $15 each - Club Hoodie $25, if needed), $90 for Class A Uniform (or $45 uniform rental deposit, or trade in a previous uniform to size up or down) and $5 monthly dues ($50 if paid monthly, $40 if paid in full at registration). At the 1st Club Meeting I would like to apply for partial financial assistance In installments I would like to apply for full financial assistance Submit