Pilgrim App Form
The Walk to Emmaus is an international Christian spiritual renewal movement that is ecumenical, although it is administered by the United Methodist Church. The purpose of Emmaus is the renewal of the Church as the body of the risen Christ in the world - through the renewal of church members as faithful and committed disciples of Jesus Christ. The Emmaus weekend runs from Thursday evening through Sunday evening and is a short course in Christianity, meant to deepen your knowledge of God's grace in your life.

The following questions will help the Channel Islands Emmaus Community Board of Directors when they consider your request. Please complete all questions. The information on this application will be held by the lay director of your walk, and destroyed after the weekend.
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Marital Status
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Sponsor's Name
Name desired on Tag
Name of church you attend
Church address
Pastor's Name
Pastor's Phone #
Has the Walk to Emmaus been explained to you?
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Has the follow-up program of group reunions and the post-weekend activities been explained to you?
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Please list all Health Conditions
Please list all Medications
Please list all Allergies
Please list all special diets, dietary restrictions and food preferences:
Are you currently undergoing a difficult emotional or spiritual time?
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If so, please explain
Emergency Contact (other than spouse)
Emergency Contact address
Emergency Contact phone #
Emergency Contact email
State why you would like to attend an Emmaus weekend, and what you expect to obtain from it
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