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Emmaus Information
Women’s Walk #114 Team: June 8-11, 2023
Application
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Pilgrim Application
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Application
Pilgrim Application
Pilgrim Application
Emmaus: for the renewal of the church of Jesus Christ through the development and renewal of Christian leaders Greater Findlay Area Emmaus Community Pilgrim Application
Pilgrim fees are $90
If you experience any problems please contact Tina Miller tinamiller1127@yahoo.com
Application For
*
Mens Walk
Womens Walk
Personal Information
Name
First
Last
Preferred spelling of your name. what name do you want on your name tag?
*
For your name tag. Example: Dave instead of David
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone
Email
Marital Status
*
Married
Single
Divorced
Widowed
Seperated
Age:
*
18-40
41-65
66 and over
Number of Children
*
Children's Ages
If applicable
Any Special/Physical Needs that Emmaus should be aware of ?
Has the concept of an equal commitment regarding The Walk to Emmaus been explained to you and your spouse?
*
Yes
No
Has your spouse attended a walk?
*
Yes
No
N/A
Has your spouse registered for a walk?
*
Yes
No
N/A
Employment Information
Employer
*
Occupation
Work Phone
Emergency Contact Information
Emergency Contact
*
First
Last
Emergency Contact Phone
*
Religious Information
The Walk to Emmaus is designed for actively involved Christians in a local church.
What is the name of the church you are currently attending?
*
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Lead Pastor's Name
First
Last
Church Phone
Religious or community organizations in which you are or have been active:
The Walk to Emmaus Weekend is a 72 hour commitment. Do you have a health problem or a physical handicap that may affect your participation in the Walk?
*
Yes
No
If yes, please explain:
We strive to provide healthy, nutritious and appealing meals. If you have a medical reason for not eating a regular diet, please indicate (i.e., allergy, diabetic, etc.)
The Walk to Emmaus is for the development of Christian leaders. Has The Walk to Emmaus been explained to you?
Yes
No
State briefly why you wish to be involved in The Walk to Emmaus and what you expect from the weekend:
Has the post-Walk meetings been explained to you?
Yes
No
Your Sponsor's Name
Sponsor's phone number
*
Sponsor's email address
*
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