Sponsorship

APPLICATANT REGISTRATION 2019

GRACE EMMAUS of SILICON VALLEY 


Instructions for Sponsors:  
1.  Sponsors should highlight and copy all text below this line, and send it to your pilgrim asking them to reply with answers filled in and sent to you.  Pilgrims should provide to the sponsor all answers to questions in all parts of this form (Part 1,2 and 3).  

2.  Sponsors must then use the answers you received from the pilgrim to fill in an on-line form.  After receiving all answers from your pilgrim click on this link 

3. Sponsors will then receive an email verifying that the information was entered successfully, and all information will be sent to the Pilgrim Registration process.  




The following text should be copied by the Sponsor and sent to the pilgrim in an email:  

COPY HERE TO BELOW
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Dear ___

Thank you for your interest in attending a Walk To Emmaus weekend.  The information below must be entered into our registration process.  Please answer all questions accurately in a reply message to me.  So take this email, press the reply button, and answer all questions before pressing the send button.  Thanks!  

APPLICATANT REGISTRATION 2019

GRACE EMMAUS of SILICON VALLEY 

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PART 1 – PILGRIM CONTACT INFORMATION: 

 

Name (First / Last) =   

Address =     

City, State, Zip =    

Mobile Phone =  (     ) -      -    

EMAIL: Address =        @    .  

Your age =   

Gender:  M F = 

Marital Status:  (M S D W SEP) =

Name you want on your name tag = 


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PART 2 – HEALTH, MEDICAL & CHURCH: 

 

Emergency Contact & Phone =   name        & (     )-     -   

Name & Phone of nearest relative =   name      & (     )-     -  

Are you on a medically prescribed diet for allergies/vegetarian/etc?  Y / N = 

Describe if Yes =

Do you take special medications? ( Y / N) = 

Do you have health needs or a physical handicap that may affect your attendance at a Walk to Emmaus? If yes, please specify =

Name and denomination of church = 

What church activities are you active? = 

 

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PART 3 – AGREEMENT (You will sign this form when you arrive to the retreat): 

A.   Has the “Walk to Emmaus” been explained to you? (Y/N) =

B.   Have the activities of the Emmaus Community been explained to you? (Y/N) = 

C.   State briefly why you wish to be involved in the Emmaus Community and what you expect from it: 

D.   I agree to release Grace Emmaus of Silicon Valley and its volunteers, agents and Board of Directors and the host church from any and all liability for and waive any and all claims for injury, loss or damage in any way connected with my participation in Grace Emmaus Of Silicon Valley activities or programs. (Y/N) =

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Answer all above questions in Part 1, 2 and 3, and email this back to your sponsor, and your sponsor will then enter this information into our on-line application process. 

When you arrive at the walk, you will be asked to verify your information is correct and also sign the above statement of liability release (Part 3 – D).  

Thank you for agreeing to attend a Walk.  We praise God for you, and will pray for you now and through the Walk.  If you have any further questions, please talk with your sponsor to get all questions answer.  Once this application has been approved, your sponsor will be notified, and your sponsor will confirm with you everything you need to bring on the Walk.  

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