Online Club Registration Form

This form is for existing clubs to use for registration. If you are starting a new club, please use the Online Club Application Form.

Church Information

Club Number(Required)

Council(Required)

Please enter your council name, or "Independent" if your club is not part of a council.

Church Name(Required)

Denomination

Church Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Church Email

Church Website

Second Supporting Church

(if club is supported by more than one church)

Second Supporting Church Name

Second Supporting Church Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Head Counselor Information

Head Counselor Name(Required)

First Last

Head Counselor Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Head Counselor Phone(Required)

Head Counselor Email(Required)

Co-Head Counselor Information

Co-Head Counselor Name

First Last

Co-Head Counselor Phone

Co-Head Counselor Email

Cadet Club

Officer of Church Board Signature(Required)

Church Board Signature Date(Required)

Head Counselor Signature(Required)

Head Counselor Signature Date(Required)

Club Information

How many boys do you have in each program? (Fill in numbers. If you’re not sure how many boys you will have, just estimate.)

Junior Cadets

Recruit • Pathfinder • Builder

Guide Trails

Voyageurs

Unchurched Boys

How many boys in your program receive little or no Bible number education outside Cadets?

Meeting Day

Day of the week you plan to meet.

Deacons

President of Deacons Signature(Required)

Date of Pres. of Deacons Signature(Required)

President of Deacons Name(Required)

First Last

Date Offering is Scheduled

Approx. Offering Mail Date

CAPTCHA

Church Information

Second Supporting Church

Head Counselor Information

Co-Head Counselor Information

Cadet Club

Club Information

Deacons

2025 DYM Golf Outing

May 12, 2025 – Pilgrim’s Run Golf Club