2026 Tidewater Chrysalis Teaming Application
Greetings! We are excited to welcome you on the weekend experience. Tidewater Chrysalis will be held at Triple R Ranch from January 16th- 19th, 2026 (MLK Holiday). If you have any issues accessing or submitting this form please contact (Call or Text) the Chrysalis Registrar at 757-572-3787 or email to registrar@tidewaterchrysalis.org
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Email *
First Name *
Last Name *
Name for your Nametag (If you go by something different than your first name)
Date of Birth *
MM
/
DD
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YYYY
Gender *
Street Address:  *
City *
State *
Zip Code *
Cell Phone Number *
Church you attend
Have you teamed Chrysalis before?  *
Please list any Chrysalis or Emmaus weekends on which you have served as well as your assigned role on these weekends
Do you play an instrument or sing *
If yes let us know below that you sing or what instrument you play. 
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