Club Registration Form | Pioneer Clubs

Club Registration Form

Pioneer Clubs® Registration Form

Directions: Please fill in the form below to register your club and leaders. Astericks indicate required fields.
Thank you for registering your club.

If you prefer, you may mail or fax your registration form.
A Canadian PDF registration form is available here.

Church Information

Account Number:

*Church Name:

*Church Address:

*City:

*State/Province:

*Zip/Postal Code:

*Country:

Church Email:

Fax Number:

*Church Denomination

Other:

*Church Location:

*Church Attendance:

*When does your Pioneer Clubs program meet?

Sun.

Mon.

Tues.

Wed.

Thurs.

Fri.

Sat.

*What time does it meet?

Morning

Afternoon

Evening

*How many first-year leaders does your club program have?

*Do you currently run any other children's ministry program? Yes No

If yes, what other programs are you running?

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