Pathfinder Club Name*

BUC Region*

BUC Staff

Irish Mission

NEC

Scottish Mission

SEC

Welsh Mission

Club Leader's Name*

First

Last

Club Leader's email*

Club Leader's Phone Number*

Club Name:
Attendee Details
	First Name	Surname	Date of Birth	Child or Adult	Underage child	Application & medical form held by club?	T-shirt size (see below for sizes)
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Seventh-day Adventist® Church

Adventist Youth in the United Kingdom and Ireland