Club Membership 2025 2 December 2024 Brett Donald First Name Surname Date of Birth Age on 31 Dec 2024 School School Year in 2025 Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Other Church Which suburb do you live in? Have you been a Pathfinder before? YesNo Where? Invested as FriendCompanionExplorerRangerVoyagerGuideMaster Guide Class you wish to join in 2025 Friend (Year 5 or age 10)Companion (Year 6 or age 11)Explorer (Year 7 or age 12)Ranger (Year 8 or age 13)Voyager (Year 9 or age 14)Guide (Year 10 or age 15)Master Guide (Year 11 or age 16)Leader Known Allergies (if any) Medical Conditions and Medications (if any) Medicare Card Number Individual Reference Number Private Hospital Cover YesNo Health Fund Membership Number Contact 1 is the adult (parent or guardian) who will receive regular communications from the club about your membership (such as event reminders) and whom we will contact in an emergency. (Leaders and Master Guides put your own details here) Contact 1 Name Contact 1 Email Contact 1 Phone Contact 2 is an adult we can contact in an emergency if contact 1 is not available, or the Parent contact for Master Guides. Contact 2 Name Contact 2 Email Contact 2 Phone Send this contact regular communications as well? Yes Do you give us permission to use photos of you when promoting the club (for example, on our website)? YesNo Working With Children Check Number (if you are aged 18+) The annual membership fee is $90, which you can add to your shopping cart now. (Junior Counsellors and leaders are exempt from the annual membership fee.) Add membership fee to cart View cart Register someone else Browse the shop
