Lake Cumberland Area Chrysalis Flight #55 (April 3-5, 2020) Request for Reservation Sponsor Information
To be filled out by Sponsor:
The LCAECC accepts youth ages 14 - 18. (No exceptions on age requirements)
Questions? Call or text: (270) 634-1741
* Required
Sponsor's Email address
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Your answer
Sponsor's Last Name
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Your answer
Sponsor's First Name
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Your answer
Sponsor's Mailing Address
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Your answer
Sponsor's City
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Your answer
Sponsor's State
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Your answer
Sponsor's Zip Code
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Your answer
Home Phone Number - Sponsor
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Your answer
Cell Number - Sponsor
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Your answer
Name of Church you attend - Sponsor
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Your answer
Your Flight/Walk Number
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Your answer
When and Where did you make your Flight/Walk to Emmaus?
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Your answer
How long have you known your candidate?
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Your answer
Are you praying and sacrificing for your candidate?
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Yes
No
Are you active in a reunion group?
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Yes
No
Are you able and willing to assist your candidate with getting involved in an Emmaus/Chrysalis reunion group?
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Yes
No
Will you be bringing your candidate to registration?
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Yes
No
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