Shenandoah Valley Emmaus Online Team Check-in / Registration
Once you have been accepted on a team and have your specific assignment, you need to complete this registration form and submit your team fees. This information will load into the database, serve to create the walk participants contact list, and serve as your Team Application for future walks for the next two years.

First Name *
As you want it to appear on your name badge and bed tag.
Your answer
Last Name *
Your answer
Name Tag?
Street Address *
Your answer
Town *
Your answer
State (2 letter abbreviation) *
Your answer
Zip 5 number *
Your answer
Preferred Phone w/ area code 555-123-1234 *
Your answer
Preferred Email Address
It is important to be accurate as this will be the primary communication link in the future!
Your answer
Birth date - easiest to type in date (don't use calendar) *
MM
/
DD
/
YYYY
Church You Attend *
Your answer
Your Pastor's Email
The weekend Spiritual Directors would like to invite your pastor to Closing in support of your ministry.
Your answer
Which Upcoming Walk? *
How many times have you done the following?
-
1
2
3
4
5
6
7
8
9
Assistant Table Leader
Table Leader
Assistant Lay Director
Music Director/Assistant
Prayer Chapel Coordinator
Weekend Coordinator
Spiritual Director
Board Representative
Lead Spiritual Director
Lay Director
Talk you are sharing and others that you have previously shared:
Musical Instruments Played
Your answer
Can you operate the computer and projector?
Any special food allergies or restrictions for the camp kitchen?
Your answer
Medications to be taken other than meal times, wake time or bedtime?
Your answer
Team Fees $155 *
Emmaus leaders cover their own expense for participating in the program. Full payment is due at the beginning of team training.
Submit this form
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