GENERAL CLUB INFORMATION
Club Name	Click here to enter text.
Club Address	Click here to enter text.
Postcode	Click here to enter text.

CLUB DIRECTOR INFORMATION
Direcot’s Name	Click here to enter text.
Director’s Address	Click here to enter text.
Postcode	Click here to enter text.
Email	Click here to enter text.
Phone	Click here to enter text.

DEPUTY DIRECTOR INFORMATION
Deputy Director’s Name	Click here to enter text.
Deputy Director’s Address	Click here to enter text.
Postcode	Click here to enter text.
Email	Click here to enter text.
Phone	Click here to enter text.

CLUB SECRETARY INFORMATION
Club Name	Click here to enter text.
Club Address	Click here to enter text.
Postcode	Click here to enter text.
Email	Click here to enter text.
Phone	Click here to enter text.

Class	No. Of Children	Class	No. Of Children	Class	No. Of Children
Little Lambs	Eager Beaver	Adventurers
Friend	Companion	Explorer
Ranger	Voyager	Guide
MG	Counsellor	Jnr. Counsellor

Please list names of all member of Staff. Please indicate if you have MIT’s – MasterGuide in Training.

Name	CRB Cleared? Date	KCFS Trained? Date	PLA?
Master Guide	Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	☐
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	☐
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	☐
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	☐
Counsellors	Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Jnr Counsellor	Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?
Cleared?: Y/N Date: Date	Trained?: Y/N Date: Date	MIT?

Is this a new Pathfinder Club? Y/N
Does your club have a presence on the web (i.e. facebook or a page on church website)? Y/N
If you answered yes above please give URL Below
: Enter Web Address here