WALK TO EMMAUS APPLICATION
To be filled out by applicant:  Talk to your sponsor before completing this section.
The Walk to Emmaus is a 72-hour event for Christians who seek a more meaningful spiritual relationship with Christ.  I confirm that I am seeking a deeper relationship with Jesus.
Applicant Name:                                                         Home phone and area code  (      )
Address:                                                        City,                                    State.            Zip
Work phone if ok to call:  (      )                                   Hours you may be reached:
 Spouse name, if married:                                             Pastor's name:
Name, denomination and town of church you currently attend:
What church actives are you now involved in?
Has your sponsor explained the purpose of Walk to Emmaus?
Special dietary requirements:
Medication/medical needs:
Mobility/other special needs:
Contact of person other than spouse:
In case of emergency:                                                    Phone:  (      )
Date and location of Walk applied for:  Men  (  )  Women  (  )
Applicants signature:                                                                                                Date:

The Walk to Emmaus is not appropriate for seeking solution to personal crisis.  All blanks must be completed except optional work phone entries.  Your sponsor will contact you to confirm your application.

TO BE FILLED OUT BY SPONSOR
Sponsor Name:                                                            Home phone and area code:  (      )
Address:                                                             City,                       State:             Zip
Work phone if ok to call:  (      )                                     Hours you may be reached
Have you read the guidelines for application selection?
Name, denomination and town of church you currently attend:
When was your Walk or Crisillo?                                    Where?
Sponsor's signature:
Note: A second form, titled "In support of Applicant" must be received by registrar with this form.
Sponsor:  If you have an old application, the Clergy form does not get filled out!!
Copy and Mail application to registrar: Kay Harrison, 2359 Evan Way, Central Point, OR. 97502.  There must be a check for $75 with application or other arrangements made for payment.

click here for page two.