Kentucky-Tennesse Conference Pathfinders
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Adventurers
Register Adventurer Club
Leadership Convention Registration - Oct. 4-6, 2019
Leadership Registration 2019
*
Indicates required field
Select One
*
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1st Registration
Page 2
Page 3
Names Added at Later Date
Church/Club Name
*
Name
*
First
Last
Select One
*
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Pathfinder Staff
Adventurer Staff
Other
Primary Phone Number
*
Email
*
---You are
NOT
considered registered until payment is received.
Early Rate - $50/person
Postmark by Sept 20
Pay by Sept 23 if credit card*
Regular Rate - $70/person
Postmark by Sept 27 if mailed
Pay by Sept 30 if credit card*
*Credit Card
:
Call Deborah at Conference Youth Department
615-859-1391
Final Deadline - Sept 30
(Late registrants & payments)
NO
Refunds after Sept 25.
Make checks payable to:
"KY-TN Conference Pathfinders"
Mail to:
KY-TN Conference Youth Dept.
P.O. Box 1088
Goodlettsville, TN 37070-1088
Staff Kids:
11+ yrs - $45/kid
2 -10 yrs - $35/kid
Under 2 yrs - FREE
(with permission only)
Other persons
included in this registration
.
(Please adjust payment for additional persons.)
1. Name
*
First
Last
1. Select One
*
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Pathfinder Staff
High School or TLT Pathfinder
Adventurer Staff
Staff child (by permission ONLY)
2. Name
*
First
Last
2. Select One
*
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Pathfinder Staff
High School or TLT Pathfinder
Adventurer Staff
Staff Child (by permission ONLY)
3. Name
*
First
Last
3. Select One
*
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Pathfinder Staff
High School or TLT Pathfinder
Adventurer Staff
Staff Child (by permission ONLY)
4. Name
*
First
Last
4. Select One
*
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Pathfinder Staff
High School or TLT Pathfinder
Adventurer Staff
Staff Child (by permission ONLY)
5. Name
*
First
Last
5. Select One
*
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Pathfinder Staff
High School or TLT Pathfinder
Adventurer Staff
Staff Child (by permission ONLY)
6, Name
*
First
Last
6. Select One
*
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Pathfinder Staff
High School or TLT Pathfinder
Adventurer Staff
Staff Child (by permission ONLY)
7. Name
*
First
Last
7. Select One
*
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Pathfinder Staff
High School or TLT Pathfinder
Adventurer Staff
Staff Child (by permission ONLY)
Comment
*
Submit
Do you require a special diet?
*
Indicates required field
Name
*
First
Last
Club Name
*
Phone Number
*
Email
*
Choose One
*
Vegan
NO Gluten
NO Dairy
NO Soy
Peanut Allergy
Other (please note in comments)
Comment
*
Submit
Sorry, NO Adventurer specific workshops offered.