Lake Cumberland Area Chrysalis flight #55 Volunteer Form (April 3-5, 2020)
This form is to be used by the community to develop a database of individuals who have an interest in working on Chrysalis Flight and to record past activity of individuals who have contributed to the work of the Lake Cumberland Area Chrysalis Community. Team Fees are $90 and should be paid prior to the flight. You may do this at team meeting or on-line at the website www.lcemmaus.com . IF you are a 18 +, you will need a
background check. These are done every 5 years. If applicable, you will be provided a background check form if called to serve on a team. Under 18 No background check needed.
Email address *
Your answer
Your Flight/Walk Number *
Your answer
What will your age be the weekend of this flight? *
Last Name *
Your answer
First Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Your answer
Phone Number (please indicate if home or cell #) *
Your answer
Have you worked a walk/flight previously? *
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