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Walk to Emmaus Application
Application and Sponsor Form to Attend a Walk to Emmaus
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Email *
Sponsor's email, if not entered above
Sponsor's Name *
Weekend Information *
Weekend Information *
Weekend Information *
Pilgrim's First and Last Name (as you want it on your nametag) *
Address (street, city, state and zip code) *
Phone number *
Email Address *
Occupation *
Date of Birth *
Present marital status
(If married, spouse is encouraged to attend their gender's Walk during the same season.)
 *
In what church and/or community organizations are you active? *
Name of Church you attend? *
Denomination, or non-Denominational *
Address of Church (street, city, state and zip code) *
Pastor's Name, email address and phone number *
Date Pastor reviewed application.  This entry also serves as the Pastor's signature. *
MM
/
DD
/
YYYY
Has the Walk to Emmaus program and the Emmaus weekend been explained to you? *
Has the importance of the "follow-up" programs (fourth day, group reunions, etc.) been explained to you? *
Do you have any health or physical conditions that may affect your participation in the Weekend?  IF YES, please describe. *
Are you on a special diet or required medication?  IF YES, please describe. *
Please state briefly why you wish to attend the Walk to Emmaus program and what you expect from it. *
Date applicant completed form.  This entry also serves as your signature. *
MM
/
DD
/
YYYY
The above information is necessary for your placement for the Walk to Emmaus.  There is a $100.00 registration fee to offset the cost of materials and meals during the weekend.  Please submit a non-refundable deposit of $25.00 with this application.  There is a link to our PayPal account at the end of this application.
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