2019 FORM PACK - SYDNEY ADVENTIST YOUTH
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2019
FORM
PACK
2019
FORM
PACK
2019
CONTENTS FORM
PACK
INFORMATION
• 2019 Youth Calendar
• 2019 Pathfinder Regions
• Conference Outdoor Specialists
APPLICATION FORMS
• New Pathfinder Club Application
• Passport Application Form
• Pathfinder Award Of Excellence
REPORT FORMS
• Pathfinder Statistical Report
• 200 Club Monthly Report
• 200 Club Instructions
• Incident Report
• Accident & Near-Miss Investigation
Report
• AO Activity Notification Report
• Public Liability Request Form
PATHFINDER RESOURCES
• Pathfinder Application Form
• Pathfinder Staff Registration Form
• Club Attendance Record
• General Health & Consent Form
• GSC Honour Notes Menu
• Pathfinder Pledge & Law
• Pathfinder Song
• Guidelines For Tin Food Drive
• Food Collection Authority
• Tin Food Promo
• List Of Good Pathfinder Websites
• Basic Outline Of Pathfinder Classes
• Core Pursuits
• Pursuit Planner
• Resources For Card Classes
• Prepare For An Investiture Check
• Personal Accident Insurance
Information
• New Working With Children Check
• Child Safe Code Of Conduct
• Sexual Abuse Fact Sheet
• Local Church Child Safe Policy
• Safety Management Guide
• Safety Management Ex. (Template)
• Camping Sites
PLEASE DO NOT USE OLD forms,
• Thirlmere Camping Site Information
only forms from this pack
ORDER FORMS these forms are a master copy
• Pathfinder Supplies Order please duplicate for use
• Investiture Supplies
• Pathfinder Honour Order these forms are also
• ABC Stock List available at
www.sydneyadventistyouth.com
2019
2019 CALENDAR FORM
PACK
JANUARY JULY
01-06 AUC PATHFINDER CAMPOREE 06 YOUNG ADULT RALLY
12-14 STAFF CAMP
AUGUST
15-20 JUNIOR CAMP
21-27 TEEN CAMP
FEBRUARY
02-05 SHRED IT
10 ADVENTURER RALLY
18 MOUNTAIN BIKING
02 ADVENTURER TRAINING (PM) 24 PATHFINDER LEADERSHIP AWARD 3
08-11 CONVERGE AUC YOUNG ADULT GATHERING 31 TEEN IMPACT
09 PATHFINDER REMIX (PM)
SEPTEMBER
15-16 IGNITE
16 IGNITE YOUTH & YOUNG ADULT PROGRAM
23 MASTERGUIDE TRAINING
07 DRUG FREE WALK (PM)
MARCH
27-29 PATHFINDER EXPEDITION
03
16-23
ABSEILING (BASIC)
YOUTH WEEK OF PRAYER (LOCAL)
OCTOBER
16 GLOBAL YOUTH DAY 18-20 MATES CONFERENCE
16-17 PATHFINDER LEADERSHIP AWARD 1 &
24
29-31
PATHFINDER SPECIALIST AWARD 1
ADVENTURER FUN DAY
GS PRAYER RETREAT
NOVEMBER
01-03 ADVENTURER CAMPOREE
APRIL
10 ABSEILING
16 YOUNG ADULT RALLY
23 PATHFINDER RALLY (PM)
6 TEEN IMPACT 24 CANYONING
13 RETHINK YOUTH & YOUNG ADULT 29-01DEC DUNAMIS YOUNG ADULT CAMP
MINISTRY (PM)
DECEMBER
26-28 FLAT WATER CANOEING
MAY 29-01DEC DUNAMIS YOUNG ADULT CAMP
JANUARY2019
17-19 PATHFINDER LEADERSHIP AWARD 2 &
PATHFINDER SPECIALIST AWARD 2
JUNE
04-06 STAFF CAMP
07-12 JUNIOR (10-12) SUMMER CAMP
13-19 TEEN 1 (13-15) SUMMER CAMP
02 ABSEILING 20-26 TEEN 2 (16-18) SUMMER CAMP
15 BROTHERHOOD & IMAGINE
16 MAP & COMPASS
29 ADVENTURER TRAINING (PM)
8
For once you were darkness, but now you are light in the Lord. Live as children of light, 9 for the fruit that the light
produces consists of every form of goodness, righteousness, and truth. Ephesians 5:8-9 NIV
2019
2019 CALENDAR FORM
PACK
• Pathfinder Rally
Summer Camps: This is the final Conference Pathfinder Event
Summer camps are an Evangelism event where we call for the year. It is a windup of all that has taken
young people to commit to Jesus Christ. This is done place in the local church and Conference.
through activity based learning environments where Jun-
iors and Teens (10 to 18 year olds) come and learn more Teens, Youth and Young Adult:
about God and each other. Morning devotions, evening There are a number of events that we organise for the
worships, food, accommodation and fun activities are all Teens, Youth and Young Adults of the Conference. These
provided for the young person. include the following:
• Rethink Youth and Young Adult Ministry
Adventurers: This is a training event for all youth leaders,
Adventurer ministry is for 4 - 9 year olds. This their leadership team or any person who has a
year we are holding: desire to work with young people.
• Leadership Training • Young Adult Rallies
Where we train leaders to be more effective in Are a time where young adults can gather
what they do together to hear an inspirational message,
• Adventurer Fun Day praise God through music and catch up with
A day of fun, activities and laughter for the friends.
whole family • Youth Week of Prayer (Local Church/Regions)
• Adventurer Camporee During this week, there are a set of readings
A weekend away camping in the outdoors from the Youth Ministries Department that you
with worship programs and award activities. go through with your youth group and church.
This is the finishing activity for Adventurer’s This is an event run by your local church or
can be done as a region/group of churches.
• Shred It Winter Ski Camp
Pathfinders: We will be joining with the Youth of Australia for
Pathfinders is a ministry for the 10 to 16 year olds where another ski trip. For those who love to
they come together in local church clubs to worship God, ski/snowboard – this is for you. Bring your non-
camp and learn skills. Events run for Pathfinders include: Christian friends and lets shred it together
• Pathfinder Remix (pm)
This is an event to inspire and resource
Adventist Outdoors:
Pathfinder Leaders and his/her leadership
• There are a number of Adventure events that are
team.
organised by the Adventist Outdoor Volunteers. These
• Master Guide Training
are for anyone to register and attend. Events include
This is a seminar that Master Guides must
learning to Abseil, Flat Water canoeing, Canyoning
take if they are to be invested in Master
and the like.
Guides. This runs for the whole day and is
intensive.
• Pathfinder Leadership Award Part 1, 2, 3
These are training events to help you be-
come a competent leader in various skills
relating to Pathfinders and the Outdoors. It is
based on pre-reading, assessments and seminar
attendance.
• Pathfinder Specialty Award Part 2 (Outdoor)
These training events are for those who have
completed PLA. PSA includes the completion
of the nationally recognised ‘skill sets’ for
Bushwalking in controlled environment from the
Certificate III in Outdoor Recreation and some
Pathfinder specific units.
Our Registered Training Organisation (RTO)
that we will complete the national units (for both
PLA & PSA) through Avondale College.
• Map and Compass Day
This is a training event to help you bring your
navigation and orienteering skills up to scratch
• Drug Free Walk
Walk through the city to make a public
declaration about not doing drugs ir alcohol.
2019
2019 REGIONS FORM
PACK
North / NORTH WEST District
DD’s – Peter Fowler, Sebastian Davila & Cecilia Edwards
• Castle Hill
• Chatswood
• Wahroonga
• Kellyville
• Mile End
• New Hope
• North Ryde Korean
• Parramatta
• Wahroonga
• Waitara
Western District
DD’s – Jose Cruz & Colleen Maeva
• Bidwill
• Blacktown
• Filoship
• Holroyd
• Mount Druitt
• Mount Druitt Samoan
• Mountain View
• Penrith
• Xcell
South / South Western District
DD’s – Raelene Boyd & Karen Atcheson
• Bankstown
• Cabramatta
• Cabramatta Fijian
• Cabramatta West Spanish
• Campbelltown
• Campbelltown Fijian
• Hoxton Park
• Illawarra
• Sydney Cook Islands
• Sydney Tongan
• Wetherill Park Spanish
Central District
DD’s – Inoke Katia & Weng Leong
• Auburn
• Concord
• Enmore Fijian
• Granville Fijian
• Hurstville
• Lakemba Tongan
• Stanmore
• Sydney Chinese
• Sydney Tongan
2019
2019 AO SPECIAlISTS FORM
PACK
These contacts are available to add an extra event in your Pathfinder Calendar. Each of the following people
are qualified nationally and can give advice or training if required.
White Water Canoeing Ben Fehlberg
Bushwalking
Abseiling* Stephen Fehlberg and Leo Barreto
Rock climbing Ben Fehlberg
Canyoning* Dave Gilbert
Flat Water Canoeing* Paul & Cecilia Edwards
Mountain Biking*
High ropes & Low ropes Available at Crosslands with qualified operators Leo Baretto and Wes Raymond
For contact details on the above, please contact Pr Phil Yates at the conference office on 9868 6522.
*The AO GSC organise these activities in the 2019 Youth Calendar.
2019
FORM
PACK
APPLICATION
FORMS
2019
NEW CLUB APPLICATION FORM
PACK
Name of Club: _________________________________________________________________________________________
Sponsoring Church/es: __________________________________________________________________________________
Director’s Name: _______________________________________________________________________________________
Address: _______________________________________________________________________________________________
____________________________________________________________ Postcode: _________________________________
Phone No: (HM) _________________________(WK) ___________________________ (Mob) ________________________
Email: __________________________________________________________________________________________________
Number joining the following classes:
Friend ______ Companion ______
Explorer ______ Ranger ______
Voyager ______ Guide ______
Master Guide ______
Pathfinder Leadership Award ______
Pathfinder Specialist Award ______
Way To Go ONLY:
Level 1 ______
Level 2 ______
Level 3 ______
Please tick the Curriculum that your Club is following:
o Card System o Specialty o Way to Go (Activity based program)
All Staff have ‘Working with Children Check’ numbers and number is listed with church clerk:
Yes o No o
Director’s Signature/s _________________________________________________ Date: ___________________________
_________________________________________________ Date: ___________________________
OFFICE USE ONLY
Date Received:
Approved:2019
PASSPORT APPLICATION FORM
PACK
2014 PASSPORT APPLICATION FORM
SOUTH PACIFIC DIVISION YOUTH DEPARTMENT of Photograph
(Please supply Two)
the Seventh-day Adventist Church
Pathfinder Passport
Application
Details of Title Surname Christian or given names Sex
Applicant M/F
Place of Birth Town/City Date of Birth Day Month Year
State/Country Height Colour of eyes
Residential Unit/No Street Town/City P/Cod Phone
Address e Home
Business
Name of CHURCH SCHOOL Year or Form
Pathfinder Club
r Director r Chaplain
Position in Club r Other Office
r Deputy Director r Instructor
(Please tick) (Please specify)
r Counsellor r Pathfinder
r Junior Counsellor
Enclosed is my Pathfinder fee of $5.50 r Cash r Church Account
Cheques made payable to: Greater Sydney Conference of SDA r Cheque r Credit Card
Have you previously had a Pathfinder Passport? Yes/No Previous Pathfinder
If YES, state the reason for your current application: Passport No:
Eg. Lost, stolen, destroyed
NEXT OF KIN Name Address Phone
Home:
Relationship Business:
CERTIFICATION REGARDING APPLICANT (Parent, Guardian, Director, Deputy Director, Pastor etc)
I hereby declare that I have known (Full name of applicant)
for a period of Years. To the best of my knowledge and belief, the statements made by the
applicant on this form are true, the signature on the application is that of the applicant and the
accompanying photograph is that of the applicant.
NAME SIGNATURE DATE
DECLARATION: I, the undersigned person, making this application, hereby declare that the statements
made in this application are true and correct in every detail.
SIGNATURE DATE
OFFICE USE ONLY
Date: Passport Number: Payment:2019
AWARD OF EXCELLENCE FORM
PACK
GREATER SYDNEY CONFERENCE
2014 PATHFINDER AWARD OF EXCELLENCE NOMINATION FORM
To be completed by the Pathfinder Director after approval by the Pathfinder Executive
Committee. Only one nomination per form.
Name of Club: _____________________________________________________________________
Directors Name: ___________________________________________________________________
Directors Address:__________________________________________________________________
Nominated Pathfinder: _____________________________________________________________
Years in local Club: ________________________________________________________________
Years in other clubs: ________________________________________________________________
Give locations: ____________________________________________________________________
Date the award is to be presented: _________________________________________________
Name of person conducting investiture: ____________________________________________
On behalf of the _________________ Pathfinder Club Executive Committee, I recommend
the above mentioned Pathfinder for the Pathfinder Award of Excellence, because:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_____________________ _______________________ _________________
Pathfinder Director Name Signature Date
_____________________ _______________________ _________________
Pathfinder Director Name Signature Date
Note: This Award is only given to Guide Pathfinders. It is for outstanding Pathfinders who
meet the criteria in the Pathfinder Staff Manual (red book). It is not a graduation pin.
There may be one Pathfinder in smaller clubs and maybe two in larger clubs. Some years
there would be none presented. Choose well because of what it means.
This form is to be given to your District Director who will then pass it on to the Conference.
The Award will then be given to your District Director to present to the Pathfinder at
Investiture or Pathfinder Day.2019
FORM
PACK
REPORT
FORMS2019
STATISTICAL REPORT FORM
PACK
Club ___________________________________________________________________________________________________
Church/s _______________________________________________________________________________________________
Director_________________________________________________________________________________________________
Address ________________________________________________________________________________________________
Phone (HM)____________________________________________ (WK)____________________________________________
District Director _________________________________________________________________________________________
MEMBERSHIP
Total Male Female
Number of: Pathfinders _____ _____ _____
Directors _____ _____ _____
Counsellors _____ _____ _____
Other Staff _____ _____ _____
Units _____ _____ _____
Members from non-SDA families _____ _____ _____
Non-SDA Staff _____ _____ _____
CLASSES
Number in: Friend Companion Explorer Ranger Voyager Guide
Ordinary Classes ______ _________ ______ ______ ______ ______
Advanced Classes ______ _________ ______ ______ ______ ______
Which curruculum is the club followning? O Way to Go O Speciality O Card System
AWARDS
Number doing: Bronze Silver Gold
Duke of Edinburgh _______ _______ _______
Adventist Youth _______ _______ _______
STAFF STATUS
MG PLA PSA Current First Aid
Number of staff trained to _______ _______ _______ ________
All Staff have Working with Children Check and number is listed with Church Clerk? O YES O NO
INSURANCE POLOCIES
Indicate all policies held O P/finder O Building O Equip’t
CLUB STATUS
Indicate in appropriate box O Continue _______ O New _______ O Resumed _______
Club yearly calendar attached (yes or no)
Program for each class attached, for District Director (yes or no)
Date Mailed:
Print Name Director:________________________________ Secretary: ________________________________
Signed Director: ________________________________ Secretary: ________________________________
OFFICE USE ONLY O Calendar O Program Date ___________________
This annual report is to be mailed by 1st week of April
Greater Sydney Conference Office 185 Fox Valley Rd Wahroonga 2076
P 9868 6522 | F 9868 6533 | E jonathandawson@adventist.org.au2019
200 club REPORT FORM
PACK
Please send the report to the Youth Departmental Assistant by the 10th of the Month
CLUB ________________________________________________________ MONTH ________________________________
CURRICULUM
Way to Go Specialty Card
Number of Pathfinders Number of Staff
Number of Non SDA Pathfinders Number of Honours being taught
Monthly Pathfinder Activities: 1 Point for each done at least once
Date Score
Description
Hall Meeting
Worship Time
Class Work
Craft or Honours
Drill or Marching
Games or Social
Community Service Activity
Uniform (Dress/Field) Worn
Management Meetings
Report sent by the 10th
Annual Once Off Pathfinder Events: Worth 6 Points for each event
Events (75% of Attendance) Tick if done this month Date Percentage Attending Score
Drug Free Walk
Map & Compass
Pathfinder Expedition
Fair or Camporee
Rally Day
Pathfinder Day
Club 2 night campout* (x3)
Community Service Activity (x2)
Pathfinder District Director Visit
Year Program to Pathfinder DD
Statistical Report to office by April
Investiture 80% Maximum of 30 points
Leadership Training or Trained # MG / PLA / PSA /
*Notification Form must be sent & approved by the office to gain points, include copy of your safety management plan for a bonus of 3 points.
# Record those in training first and those who have completed second in each space eg. PLA 3/5
Director _________________________________ Signature ____________________________ Date ___________________
Send 200 Club Monthly Reports to: Youth Ministries Department
185 Fox Valley Rd, Wahroonga 2076
Ph: 9868 6522 Fax: 9868 6533
Email: jonathandawson@adventist.org.au2019
200 club INSTRUCTIONS FORM
PACK
INSTRUCTIONS - PLEASE READ
PHILOSOPHY
To establish a bench mark that the Pathfinder Club can measure themselves against. This is considered
the minimum for a well run Pathfinder Club. The club can have more events, campouts etc. The reporting
presumes that the Pathfinder Leaders will be honest in their reporting. The District Director’s will monitor the
results. Please tell us what the event is at the top of the column.
SCORE IS BASED ON 1 NOV – OCT 31
12 Monthly Reports maximum of 120 points
Annual Events as listed maximum of 90 points
Annual Investiture 80% invested 30 points
Safety management BONUS 9 points
POSSIBLE TOTAL 249 points
ANNUAL EVENT SCORE- IF LESS THEN REQUIRED PERCENTAGE
Annual Events Scores Investiture Scores
75% + =6 points 80% + =30 points
60% - 74% =5 points 65% - 79% =25 %
40% - 59% =3 points 45% - 64% =20 %
10% - 39% =2 points Under =10 points
DEFINITIONS
Monthly Events: these are listed in the table and are only worth 1 point per month. Maximum points per
month is 10.
Annual Events: include things that can only be scored once. These include:
- Conference events- Drug Free Walk, Pathfinder Expedition, Map & Compass, Pathfinder Rally Day,
Fair or Camporee.
- Community Service is when the whole club are involved in organising and running a community
service activity such as ANZAC Day March, ADRA Appeal, Tinned Food etc. You are encouraged
to be involved in at least 2 for the year. You will still score a point if you do more than 2.
- Campouts: This is a 2 night campout that involves just the club. A campout is in the outdoors
away from man made shelters (Unless the weather is bad). It is a Pathfinder specific event for
the Pathfinders. An Adventist Outdoors (AO) Notification Form NEEDS to be approved by the office
to be counted. A club should plan to do at least 3 of these in a year.
- This includes a copy of the safety management plan for the camp for a bonus of 3 points.
- Pathfinder Church Events include the Pathfinder Day and Investiture. The Investiture has a different
scoring outline as you can see above.
- Leadership Training and Trained The club is encouraged to have all staff trained or in the process
of being trained. The minimum training that is encouraged for staff is PLA. There should be at least
2 of the staff who have or are gaining their PSA Award. The score is based on 75% of staff being
trained or completed training.
NOTE: Participants in the following Conference Events must be at least 10 years old:
• Pathfinder Expedition
• Map & Compass
• Pathfinder Fair
• Camporee2019
INCIDENT REPORT 2017FORM
INCIDENT REPORT FORMPACK
PACK
INCIDENT REPORT
This form should be used for notification of all instances involving personal injury to,
or property damage of, third parties occurring on denominational property or during
denominationally sponsored activities. This is not a claim form and should not be
completed by a potential claimant.
Risk Management Service
INSTITUTION/CHURCH/SCHOOL…………………………….………………..…………. 148 Fox Valley Road
Locked Bag 2014
WAHROONGA NSW 2076, Australia
ADDRESS………………………………………………………………….………………….. Telephone (02) 9847 3375
Facsimile (02) 9489 7428
E-Mail rms@adventist.org.au
…………………………………………………..………………POSTCODE….…………….
PHONE……………………...……...…………… FAX………………...…….……………….
NAME …………………………………………..…………………..……………………………………..………
INJURED
ADDRESS ……………………………………..…………….…………………………………………………...
PERSON
………………………………….………………..……………..……………POSTCODE ……………..………
PHONE…………………………………………………………SEX…………………….AGE………………....
DETAILS OF APPARENT INJURY OR PROPERTY DAMAGE…………………………………………..…………………
……………………………………………………………………………….………………………………………
INJURY OR …………………………………………….…………………………………………………………………………
…………………………………………….…………………………………………………………………………
PROPERTY WAS THE INJURY OF A SERIOUS NATURE? YES / NO IF YES, GIVE DETAILS
……………………………………………………………………………………………………………………….
DAMAGE ……………………………………………………………………………………………………………………….
FIRST AID GIVEN BY ……………………………………………………………………………………………
TREATMENT ADDRESS………………………………………………………………………………………………………….
TREATED BY DOCTOR (Name)………………………………………………………………………………..
GIVEN ADDRESS………………………………………………………………………………………………………….
MEDICAL DIAGNOSIS BY DOCTOR (IF KNOWN)…………………………………………………………..
(IF ANY) AMBULANCE INVOLVED? YES / NO DEPOT:…………………………………..………………………….
HOSPITAL TREATMENT? OUTPATIENT/ADMITTED………………………………………………………
NAME OF HOSPITAL…………………………………………………………………………………………….
DATE OF INCIDENT ……………………………………………..20……………..TIME……………..AM/PM
EXACT LOCATION……………………………………………………………………………………………….
FULL DESCRIPTION OF INCIDENT INCLUDING TYPE OF ACTIVITY & NAMES OF ALL
WHEN, PERSONS DIRECTLY INVOLVED……………………………………………………………………………..
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
WHERE, ………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
(Attach separate statement if space insufficient)
HOW
WAS A REGISTERED MOTOR VEHICLE INVOLVED? YES / NO
IF YES, GIVE DETAILS…………………………………………………………………………………………..
WERE POLICE INVOLVED? YES / NO
IF YES, GIVE NAME OF OFFICE & STATION………………………………………………………………..
20102019
INCIDENT REPORT FORM
PACK2019
ACCIDENT & NEAR - MISS FORM
PACK
ACCIDENT & NEAR-MISS INVESTIGATION REPORT 2014
Workplace/Activity site ____________________________________ Ref. Number _________________ Accident Classification
Activity sponsor Leader/s Date
❒ Moderate
Name of Investigators
❒ Major
1 Position
❒ Catastrophic
2 Position
3 Position
Name of Injured (Attach details if more than one) Sex Date of Birth
❒M ❒F
Relationship to Sponsor (e.g. employee, volunteer leader, student, club member, Normal Leadership Role (If volunteer, indicate area of service)
contractor etc)
Role at Time of Accident/Near-Miss Specific Activity at Time of Accident/Near Miss Date and Time of Injury
Supervision at the Time of Accident/Near Miss
❒ Directly Supervised ❒ Indirectly Supervised
❒ Not Supervised ❒ Supervision Not Possible
Describe How the Accident/Near-Miss Occurred (attach further details if insufficient room)
Accident/Near-Miss Sequence – Describe in Reverse Order (attach further details if insufficient room)
A. Near-Miss Event (Describe how near-miss happened)
B. Injury Event (Describe how injury happened eg. struck by falling rock)
C. Accident Event (Describe event causing injury eg. rock fall )
D. Preceding Event (Describe event immediately prior to accident eg. bottom belay for abseil)
E. Following Event (Describe following event eg. abseiler calls for assistance)
Length of Time Involved in Activity (employees, volunteers, contractors, Length of Time in the Task or Activity Being Undertaken at the Time
students) of Accident/Near-Miss
❒ Less than 1 month ❒ 1 – 2 months
❒ Less than 1 month ❒ 1 – 2 months
❒ 6 months to 1 year ❒ 1 year or more
❒ 6 months to 1 year ❒ 1 year or more2019
ACCIDENT & NEAR - MISS FORM
PACK
Phil Yates
Chairperson
AO Greater Sydney Conference Board
185 Fox Valley Rd
Wahroonga NSW 2076
Please send form to Jonathan Dawson | GSC 185 Fox Valley Rd. Wahroonga 2076 | jonathandawson@adventist.org.au2017
ACTIVITYNOTIFICATION
ACTIVITY NOTIFICATION FORM
FORM
2019
PACK PACK
Send completed form to:
ADVENTIST OUTDOORS GS Conference, 185 Fox Valley
4 Cambridge St Rd, Wahroonga
Epping, 2121 2076
Phone: 02 - 9868 6522
Greater Sydney FAX:
Email:
02 - 9868 6533
gsc_youth@adventist.org.au
tamasianoerianto@adventist.org.au
ADVENTIST OUTDOORS ACTIVITY NOTIFICATION
To be sent to ADVENTIST OUTDOORS Greater Sydney office to arrive one (1) week prior to conduct of activity
Conference Adventist Outdoors Chairperson must receive a copy of the FRONT ONLY
Contact Person must receive a copy of both sides of this document
Church/Organisation/Club Name:
Today’s Date
Types of activity(ies):
Church department for which the activity is conducted: Authority from Church
Department / Local Church
! PATHFINDERS ! YOUTH DEPT ! EDUCATION DEPT ! SCHOOL ! OTHER
! YES
(Please specify if "other")
! NO
Base / Emergency Name: HOME: Parents or next of kin of party
members have been given
This person should notify the Police or agreed emergency WORK: Contact details
personnel if not contacted by: EMAIL: ! YES
TIME _______ DAY ___________ DATE __________ MOBILE: ! NO
HOME:
Leader's name: WORK:
Relevant Qualifications: ADVENTIST OUTDOORS
EMAIL: Identification No
MOBILE:
Assistant Leaders name: HOME:
Relevant Qualifications: WORK:
ADVENTIST OUTDOORS
EMAIL: Identification No
(Please attach extra page with
further names if necessary) MOBILE:
Location of Activity:
DATE OF ACTIVITY:
! PRIVATE PROPERTY ! STATE FOREST ! NATIONAL PARK ! WILDERNESS ! CHURCH PROPERTY ! OTHER
(Please specify if "other")
Objective of activity
! RECREATIONAL ! PATHFINDER CLASS REQ'TS ! HONOUR REQ'TS ! EDUCATIONAL ! TRAINING ! OTHER
(Please specify if "other")
NUMBER OF PARTICIPANTS:
If training indicate level of training being undertaken
TOTAL ________________
! INSTRUCTOR ! LEADER ! SKILLS ! OTHER
(Please specify if "other") ADULTS _______________
_____________________________________________________________________________________ CHILDREN / YOUTH _____
_________________________________________________________ AGED to
! Verification of insurance required by land manager or other (eg, State Forests, National Parks, etc)
! Risk Management Plan completed – copy attached
Please print name and address (of person filling in form) : ___________________________________________________
_____________________________________________________________________________________________________
_________________________________________________________ Phone number: _____________________________
SIGNED: _________________________________________________ Fax number: ________________________________2019
ACTIVITY NOTIFICATION FORM
PACK2019
ACTIVITY NOTIFICATION FORM
PACK2019
ACTIVITY NOTIFICATION FORM
PACK2019
PUBLIC LIABILITY FORM
PACK
PUBLIC LIABILITY INSURANCE CONFIRMATION
REQUEST FORM
* PLEASE NOTE 2 WEEKS NOTICE IS REQUIRED WHEN SUBMITTING REQUESTS
(see RMS Manual for Churches & Schools for details)
Risk Management Service
TODAYS DATE
DATE REQUIRED BY
REQUESTED BY (NAME)
CONTACT PHONE NO.
SDA GROUP INVOLVED
ORGANISATION NEEDING CERTIFICATE (ie.
council, shopping centre, show society)
* INCLUDE ADDRESS OF ORGANISATION
ACTIVITY
LOCATION
(ADDRESS OF ACTIVITY)
DATE OF ACTIVITY
HOW DO WE SEND IT TO YOU?
(FAX, E-MAIL, POST)
YOUR POSTAL ADDRESS,
E-MAIL ADDRESS or FAX NUMBER
RETURN TO: Risk Management Service
Locked Bag 2014
WAHROONGA NSW 2076
Ph: 02 9847 3375
Fax: 02 9489 7428
www.rms.org.au2019
FORM
PACK
PATHFINDER
RESOURCES2019
FORM
PACK
BASIC MEDICAL DETAILS
Medical Record: (Allergies/Drugs) ________________________________
Plants: _____________________ Foods: (eg Peanuts) _________________
PATHFINDER
PATHFINDER APPLICATION
Bee Stings: _________________ Other: ______________________________
Medicare No: ___________________________________________________
APPLICATION
FORM
Physical Abnormality: ____________________________________________
Last Tetanus Injection: ____________________________________________
Level of Swimming Ability: O NONE O BASIC O CONFIDENT O ADV
History: (Please Circle)
ASTHMA / FREQUENT SORE THROAT / SINUSITIS / ABSCESSED EAR
BRONCHITIS / FAINTING / STOMACH UPSETS / CONSTIPATION
KIDNEY TROUBLE / CONVULSIONS / SLEEP WALKING
ATHLETE’S FOOT / HEART TROUBLE / RHEUMATIC FEVER / DIABETES
OTHER: __________________________________________________________
_________________________________________________________________
IMPORTANT: Please list any specific emergency treatment your child
may require to relieve any of the above conditions: _______________
_________________________________________________________________
_________________________________________________________________
As a parent/guardian I have worked with Pathfinders in the following
activities: _______________________________________________________
I am willing to assist the Pathfinder Club in:
O Being a teacher O Craft Leader O Make a donation
O Transport O Repair Equipment
O Other: _______________________________________________________2019
PATHFINDER APPLICATION FORM
PACK
10 years)2019
FORM
PACK
Pathfinder Staff Registration Form Club: ______________________ Year: ________________
STAFF REGISTRATION
Home Mobile Working With
Position Name Address Suburb/PC Fax Email
Phone Phone Children Number
Director
Dep. Director
Secretary
Treasurer
Chaplain
Counselor
Counselor
Counselor
Counselor
Counselor
Jr Counselor
Jr Counselor
Jr Counselor
Jr Counselor
Teacher
Teacher
Teacher
Teacher
Teacher
2014 - This form does not need to be sent to the Youth Department. This is a sample for your records only. GSC Pathfinders2019
FORM
PACK
CLUB ATTENDANCE RECORD
CLUB ATTENDANCE
Service Conference
Hall Meetings Campouts
Projects Events
Names
GSC Pathfinders 20142019
HEALTH & CONSENT FORM
PACK
General Consent and Release Form
I declare that I have read the information sheet and personal equipment list Name ____
for my safe participation in _____________________________________ (activity), Male / Fe
held on ________________ (date) and will endeavour to ensure I have all the
Applicant
items listed. I also understand that it is a condition of participation to
Other Hea
accurately complete the Health Record attached.
Contact p
I have been informed of the nature of the activity and understand that there Address o
may be an element of risk involved. I agree to be responsible for taking the Doctor’s N
time to learn safety techniques and the proper use and limitations of the
If you answ
equipment I will be using. I acknowledge I may refuse to participate in any
1. Heart
part of the activity I feel apprehensive about, (if this does not endanger myself
3. Travel
or the other participants and leaders).
5. Opera
7. Migrai
I agree that if I suffer injury or illness, the organisers can arrange medical
9. Fits, Ep
treatment and emergency evacuation services, as the organisers deem
11. Diabe
necessary for my safety or well being.
13 Bedwe
15. Disabi
I am aware, in signing this document, of the risks of the above named activity
and am willing to accept this risk and agree to release, to the full extent 17. Drug R
permitted by law, AUSTRALASIAN CONFERENCE ASSOCIATION LIMITED (ACN 19. Can Y
000 003 930) and/or SEVENTH-DAY ADVENTIST CHURCH (GREATER SYDNEY DETAILS: __
CONFERENCE) LIMITED and its employees and agents from responsibility for any __________
injuries which I may suffer as a result of participation in this activity. __________
__________
“Author
In the even
Name of participant ______________________________________________ communica
treatment as
treatment. I
Signature of participant __________________________ Date __________ costs, which
I agree to me
Parent/Guardian approval must be given for participants aged 10-18 an arrangem
any descript
yrs
Pictures from
write to the o
Name of Parent/Guardian ________________________________________
I agree to m
Signature of Parent/Guardian ____________________ Date __________ Signed: ____
Signed: ____2019
HEALTH & CONSENT FORM
PACK
Health Record
(This information will be kept confidential)
ment list Name __________________________________________________________________________________
activity), Male / Female Age_________ DOB _______________ Height________ Weight _________
ve all the
Applicant’s Blood Group (If known) ___________ Medicare No. _____________________________
ation to
Other Health Care ______________________________________________________________________
Contact person in an emergency __________________________________ Phone _____________
hat there Address of contact _____________________________________________________________________
aking the Doctor’s Name ____________________________________________________ Phone _____________
ns of the
If you answer “yes” to items 1-18, please supply full details on the lines below.
te in any
1. Heart Problems yes ❏ no ❏ 2. Respiratory Problems yes ❏ no ❏
er myself
3. Travel Sickness yes ❏ no ❏ 4. Phobias yes ❏ no ❏
5. Operations yes ❏ no ❏ 6. Recent Illnesses yes ❏ no ❏
7. Migraines yes ❏ no ❏ 8. Blackouts yes ❏ no ❏
medical
9. Fits, Epilepsy, etc yes ❏ no ❏ 10. Asthmatic yes ❏ no ❏
rs deem
11. Diabetic yes ❏ no ❏ 12. Restrictions on Activities yes ❏ no ❏
13 Bedwetting yes ❏ no ❏ 14. Special Diet yes ❏ no ❏
15. Disability yes ❏ no ❏ 16. Medication Required yes ❏ no ❏
d activity
ull extent 17. Drug Reactions (ie penicillin) yes ❏ no ❏ 18. Allergies (ie bees/nuts) yes ❏ no ❏
ED (ACN 19. Can You Swim? yes ❏ no ❏ 20. Last Tetanus Booster – Date: __________
SYDNEY DETAILS: ________________________________________________________________________________
y for any ________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
“Authorisation and Agreement”
In the event of accident or illness, I also authorise the Camp Director to consent, where it is impractical or
_______ communicate with me, for me / my child to receive any x-ray examination, anaesthetic, medical, surgical or hospital
treatment as may be deemed necessary by a licensed physician and/or surgeon. I also authorise to engage such
treatment. I agree to pay the appropriate fees for such and any ambulance or other emergency transportation
_______ costs, which may be required.
I agree to meet the expense of me / my child being returned home, by the director or leaders. I understand that such
d 10-18 an arrangement may be necessary due to illness, injury, or if, in the opinion of the Camp Director, non-cooperation of
any description or the inability to meet the rigours and requirements of the activity.
Pictures from the event could be used in promoting or public reports. If you do not want your child featured please
write to the organisers by the due date,
_______
I agree to me / my child attending the camp on this understanding.
_______ Signed: ________________________________________________________________ _________________________
Participant Date
Signed: ________________________________________________________________ _________________________
Parent/Guardian (if applicant is aged 10-18yrs) Date
20142019
HONOUR NOTES MENU FORM
PACK
GSC HONOUR NOTES MENU
New revised Division Honours are available on: Youth South Pacific/Pathfinders/Pathfinder Honours
Aboriginal Lore Flower Arrangement Poultry
Amphibians Flowers Power Boating
Archery Fossils Puppetry
Basketry Fungi Quilting
Birds Glass Craft Reptiles
Birds Pet Glass Painting Rock Climbing
Block Printing Grasses Rocks & Minerals
Braiding Hiking Rowing
Bread Dough Horse Husbandry Sand
Cacti House Plants Seeds
Cake Decoration Insects Shells
Camp craft Knot tying / Lashing Spiders
Candle making Lapidary Stamps
Canoeing Laundering Stars
Cats Leather craft String Art
Caving Macramé Track & Field
CB Radio Mammals Trees
Ceramics Map & Compass Water Skiing
Chemistry Marine Algae Wattles
Christian Storytelling Marine Invertebrate Weather
Cooking Marsupials Wilderness Living
Copper Enameling Model Boats Wild Flowers
Computing Moths and Butterflies Winter Camping
Crocheting Decoupage Navigating
Dogs Nutrition We have supplementary material
for all of the above honours to help
Domestic Animals Optics
you organise and teach an honour
Edible Wild Plants Orchids to your Pathfinders.
Electricity Orienteering If you would like a copy we will
gladly supply you with one free of
Eucalypts Paper Making charge. However, please organize
this at least 2 weeks ahead of time.
Family Life Photography This way we can ensure you
receive them before your meeting.
Felt Craft Physical Fitness
P 98686522
Ferns Plastics
E hopechomczynski@adventist.org.au
jonathandawson@adventist.org.au
Fire Building & Camping Plaster craft
Fish Pottery2019
PLEDGE & LAW FORM
PACK
PLEDGE
Loving the Lord my God I will
Daily seek His presence
Show friendship to others
Keep the Pathfinder Law
And honor my country
LAW
The Pathfinder Law is for me to
Look for good in others
Aim to do my best
Love and respect my family
Be thankful for what I have
Preserve God’s creation
Take care of my health
Be involved in my Church
And go where He sends2019
PATHFINDER SONG FORM
PACK2019
PATHFINDER SONG FORM
PACK2019
PATHFINDER SONG FORM
PACK2019
PATHFINDER SONG FORM
PACK2019
TIN FOOD DRIVE GUIDE FORM
PACK
This is when a club decides to organize a time in the local community when they will collect tinned and
dried foods for families in need. The collected items are shared with two organisations that people turn to
when in need. They are either the Blacktown ADRA or Wesley Mission.
This is an excellent community activity that:
-Gives members of the community an opportunity to contribute in a program that helps peo
ple in need. Most people in Australia are more than happy to help a worthy cause.
-Provides a positive image of the local Pathfinder Club, the Pathfinder organization and the
local Seventh Day Adventist Church. The wearing of the full Pathfinder uniform makes a real
impact when the collection takes place.
-It is an activity that gives the Pathfinders a positive feeling about connecting with their local
community. To see the willingness of people to give is a positive thing for everyone involved.
-The ADRA Blacktown and Wesley Mission both really appreciate the donations of tinned
food and packages of dried food. Both of these respected organisations have many families
who are helped in difficult situations with food to care for their families.
-It also counts towards your clubs 200 Award points.
How do you set up a Pathfinder Tinned Food Drive?
-Put the event in the Clubs year calendar. It can be done at any time of the year. Both of the
organisations are always looking for tin food or dry food supplies for needy families.
-Check with your District Director as to when other clubs are planning their collections. Try
and space out the collection time so that the shelves can be receiving food donations
throughout the year.
-You will need two dates:
•First one for letting the community know what you are doing and when you are planning
on picking it up.
•Second is the actual pick up.
-Have the dates approved (along with the rest of your Pathfinder Dates) by the Church
Board. (Then the event is covered by the churches insurance as an approved church event)
-Print the “Food Collection Notice”
-Print the “Tin Food Badge”
-Identify the area of collection
-Organise the teams to complete letterboxing the “Food Collection Notice”
-Contact the volunteer organisations below
-On collection day
•Wear full Pathfinder uniform
•Have the “Tin Food Collection” tag to identify you
•Take a carry bag o collect the food tins
•Wear a big smile and be ready to say lot’s of thank yous
-Take a photo of the group and the collection to put in the local church paper or send it
through to the Conference Communication Department
-Follow the procedure to deliver the collection to the organization.
Organisations
ADRA Blacktown: They do a wonderful ministry in the midst of Blacktown. They operate a food bank. To
make donations:
- Ring the ADRA Blacktown Director
o Pr Eddy Johnson
• Centre Ph: 02) 9622 7188
• Mobile for Pr Johnson: 0400227501
- Deliver the food in plastic bags
- Come prepared to help carry the food up 3 flights of stairs2019
COLLECTION AUTHORITY FORM
PACK
TIN FOOD COLLECTION TIN FOOD COLLECTION
2014
2019 2014
2019
This Greater Sydney Pathfinder of the This Greater Sydney Pathfinder of the
This Greater Sydney Pathfinder of the This Greater Sydney Pathfinder of the
Seventh Day Adventist Church Seventh Day Adventist Church
Seventh Day Adventist Church Seventh Day Adventist Church
is authorised to collect food is authorised to collect food
is authorised to collect food is authorised to collect food
on behalf of the Wesley Mission on behalf of the Wesley Mission
on behalf of ADRA Australia on behalf of ADRA Australia
and ADRA Australia and ADRA Australia
Phil Yates Phil Yates
John Wells John Wells
GSC Youth Associate Director GSC Youth Associate Director
GSC Youth Associate Director GSC Youth Associate Director
TIN FOOD COLLECTION TIN FOOD COLLECTION
2014
2019 2014
2019
This Greater Sydney Pathfinder of the This Greater Sydney Pathfinder of the
This Greater Sydney Pathfinder of the This Greater Sydney Pathfinder of the
Seventh Day Adventist Church Seventh Day Adventist Church
Seventh Day Adventist Church Seventh Day Adventist Church
is authorised to collect food is authorised to collect food
is authorised to collect food is authorised to collect food
on behalf of the Wesley Mission on behalf of the Wesley Mission
on behalf of ADRA Australia on behalf of ADRA Australia
and ADRA Australia and ADRA Australia
Phil Yates Phil Yates
John Wells John Wells
GSC Youth Associate Director GSC Youth Associate Director
GSC Youth Associate Director GSC Youth Associate Director2019
TIN FOOD PROMO FORM
PACK
TIN FOOD COLLECTION FOR THE NEEDY TIN FOOD COLLECTION FOR THE NEEDY
Pathfinder Club Pathfinder Club
WHAT: TIN FOOD DRIVE WHAT: TIN FOOD DRIVE
WHEN: WHEN:
WHERE: YOUR PLACE WHERE: YOUR PLACE
WHY: SERVICE TO OTHERS WHY: SERVICE TO OTHERS
IS THE WAY TO GO! IS THE WAY TO GO!
On Saturday afternoon / / On Saturday afternoon / /
Pathfinder Club is inviting you to be part of a Pathfinder Club is inviting you to be part of a
Tinned Food Drive as a service to the Tinned Food Drive as a service to the
community. We will be knocking at your door community. We will be knocking at your door
asking for donations of canned food. All food asking for donations of canned food. All food
collected will be given to ADRA Australia for collected will be given to ADRA Australia for
distribution to those in need. distribution to those in need.
If you won’t be home and would like to be If you won’t be home and would like to be
part of helping the community in this way, part of helping the community in this way,
please leave your cans outside by your front please leave your cans outside by your front
door for collection. door for collection.
Your help in this Community Service Activity is Your help in this Community Service Activity is
really appreciated. really appreciated.
Thank you Thank you
TIN FOOD COLLECTION FOR THE NEEDY TIN FOOD COLLECTION FOR THE NEEDY
Pathfinder Club Pathfinder Club
WHAT: TIN FOOD DRIVE WHAT: TIN FOOD DRIVE
WHEN: WHEN:
WHERE: YOUR PLACE WHERE: YOUR PLACE
WHY: SERVICE TO OTHERS WHY: SERVICE TO OTHERS
IS THE WAY TO GO! IS THE WAY TO GO!
On Saturday afternoon / / On Saturday afternoon / /
Pathfinder Club is inviting you to be part of a Pathfinder Club is inviting you to be part of a
Tinned Food Drive as a service to the Tinned Food Drive as a service to the
community. We will be knocking at your door community. We will be knocking at your door
asking for donations of canned food. All food asking for donations of canned food. All food
collected will be given to ADRA Australia for collected will be given ADRA Australia for
distribution to those in need. distribution to those in need.
If you won’t be home and would like to be If you won’t be home and would like to be
part of helping the community in this way, part of helping the community in this way,
please leave your cans outside by your front please leave your cans outside by your front
door for collection. door for collection.
Your help in this Community Service Activity is Your help in this Community Service Activity is
really appreciated. really appreciated.
Thank you Thank you2019
PATHFINDER WEBSITES FORM
PACK
Pathfinders On the Internet
(Remember that we do not follow the North American Pathfinder Cards or their
Pathfinder Leadership training programs)
General Websites
http://www.sydneyadventistyouth.com
http://pathfinders.adventistconnect.org/index/
http://aucyouth.adventist.org.au/pathfinders-australia
http://gc.bigfoottech.com/Ministries/Pathfinders/tabid/54/Default.aspx
http://www.pathfindersonline.org/
Manuals
http://aucyouth.adventist.org.au/pathfinders-australia
http://pathfinders.adventistconnect.org/resources
Class Workbooks & Memory Gems
http://pathfinders.adventistconnect.org/document_groups/338
http://pathfinders.adventistconnect.org/memory-gems
Honours
http://honours.adventistconnect.org/
http://gc.bigfoottech.com/Ministries/Pathfinders/Honors/tabid/85/Default.aspx
http://en.wikibooks.org/wiki/Adventist_Youth_Honors_Answer_Book
http://www.pathfindersonline.org/index.php?option=com_content&view=section&layout=blog&id=2&It
emid=4
Forms
https://www.google.com/accounts/ServiceLogin?service=writely&passive=1209600&continue=http://d
ocs.google.com/&followup=http://docs.google.com/<mpl=homepage
Application Forms
http://www.sydneyadventistyouth.com.au/
Supplies
http://www.adventistbookcentre.com.au/
http://www.adventsource.org:80/as20/default.aspx?umschk=1&umschk=1
Other (logos etc)
http://gcy.bigfoottech.com/Ministries/Pathfinders/Logos/tabid/134/Default.aspxYou can also read
