Team Member Form                    May 15-18, 2025
Women's Walk to Emmaus# 58
Inlow Baptist Camp, Tajique, NM 87016
May 15-18, 2025
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Are you Support Team or Conference Room Team Member? *
If Support Team, please state if you will work entire weekend or partial weekend (stating which days you will work including time you will leave/arrive). This is so we can accurately determine count and cost for meals and rooms.
Name (Last name, First name): *
Street Address: *
City, State Zip: *
Email: *
Phone Number(s): *
Name you would like on your name tag: *
Name and denomination of church now attending: *
Do you receive Community emails?: *
Name and relationship of emergency contact: *
Emergency Contact's phone number (provide all): *
Emergency Contact's email address: *
Do you have special dietary needs? If yes, please describe. *
Do you take medication, have a health concern or physical disability that may affect your serving at the Walk to Emmaus? Please specify: *
Payment--Minimum payment of $50 is due with the application; full payment of $275 is recommended. Full payment is due 2 weeks before the walk. Payment is refundable except for the $50 application fee.  In the event that you must cancel, notify the Registrar immediately. You may pay with PayPal on the website, newmexiocemmaus.org or a check made payable to NWNM Emmaus Community may be given to the Board Rep at Team Training or be mailed to Emmaus Registrar, P.O. Box 3624, Albuquerque, NM 87190. Please specify who the payment is for on memo line.  (Scholarships may be available. Applications are available on the website.) Site insurance covers any accident. Your insurance will cover any illnesses or hospitalization for a medial emergency not related to the Walk.
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