Print and complete this form and mail to:
Application for Emmaus Walk ______
Application for Chrysalis Weekend ______
Application for Emmaus Walk and Chrysalis Weekend ______
Submission Date:_____________
NAME _________________________PHONE (____)_______________
ADDRESS ________________________________________________
CITY, STATE, ZIP________________________________________
YEAR OF MY PILGRIM WALK_________ WALK NO. ________
I'VE WORKED ______ WALKS AND ______ CHRYSALIS WEEKENDS SINCE THEN.
POSITIONS I HAVE WORKED: (circle all that apply)
Agape Team / Agape Chairman / ALD / Lay Director / Bellringer/
Table Leader / Assistant Table Leader / Music Team
Spiritual Director / Clergy Team
I PLAY THESE MUSICAL INSTRUMENTS_______________________
I SING AND/OR LEAD WORSHIP: Yes No
I AM ACTIVE IN THIS CHURCH OR GROUP: __________________
I AM ACTIVE IN THIS REUNION GROUP: ____________________
I AM ACTIVE IN THIS EMMAUS COMMUNITY:__________________