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Pilgrim Application
PLEASE NOTE: Copies of both the Pilgrim's Application, Sponsor's Application, and Weekend Deposit must be received to be considered for the weekend.
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* Indicates required question
Name
*
Your answer
Gender
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Male
Female
Age
*
Your answer
Marital Status
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Single
Married
Divorced
Widowed
Email Address
*
Your answer
Phone Number
*
Your answer
Home Address
*
Your answer
Phone Number
*
Your answer
Name & Denomination of the Church You Currently Attend:
*
Your answer
Pastor's Name
*
Your answer
How long have you attended?
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Your answer
Are you an ordained minister?
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Your answer
In what religious and/or community organizations are you active?
*
Your answer
Which weekend are you applying to attend?
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Spring Walk
Fall Walk
Has your sponsor explained to you the Walk to Emmaus, including the purpose of the weekend?
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Yes
No
Do you have a health concern or personal handicap that may impact your attendance on the weekend?
If yes, please explain:
Your answer
Are you on a special diet?
If yes, please explain:
Your answer
Please briefly state why you wish to attend the Walk to Emmaus and what you expect from it.
*
Your answer
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