APPLICATION REGISTRATION REQUIRED INFORMATION
As a sponsor, you have three ways to obtain this information.
- Talk: Talk with the person you want to sponsor in person or by phone, and ensure they understand what Emmaus is about;
- Print the questions: Get a print out of questions to the person you will sponsor. Have them return it to you after they provide all answers;
- Email: Highlight and copy all text below, or download the PDF, and put it into an email to your pilgrim. Please ensure they understand to return their answers to you.
- Print: Push the button below to open a PDF that you can print.
- Be sure to ask them to return the completed form back to you. It is important that only the sponsor fill out the electronic form using the answers received.
Go The Info Back?
AFTER you get the answers from your pilgrim, the SPONSOR must use those answers to fill out the electronic form.
ANSWERS REQUIRED FROM THE PERSON WHO WANTS TO ATTEND A WALK FOR THE FIRST TIME
Thank you for your interest in attending a Walk To Emmaus weekend. This information below is needed to register you to attend the Walk weekend.
Please PRINT your answers clearly and accurately in a reply message to me. Thanks!
PART 1 – 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 =
PART 2 – HEALTH, MEDICAL & CHURCH:
Emergency Contact & Phone = name & phone ( )- – =
Name & Phone of nearest relative = name & phone ( )- – =
Name & Phone of a friend emergency contact = name & phone ( )- – =
Are you fully vaccinated? Y/N
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 you attend =
What church activities are you active? =
PART 3 – AGREEMENT:
A. Has the “Walk to Emmaus” been explained to you by your sponsor? (Y/N) =
B. Have the activities of the Emmaus weekend and Emmaus community
been explained to you? (Y/N) =
C. Please state 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. (Yes or No) = ______
– – – – – – – – – – – –
- Answer the above questions in Part 1, 2 and 3,
- Return these answers to your sponsor.
- 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.