2024 - Participant Application Form - Chrysalis
This form has to be completed by the sponsors of Caterpillars to apply for the Flight.
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What is a Chrysalis?

Before it becomes a butterfly, a caterpillar goes through a growth stage during which it is called a “chrysalis.” On the surface it may not look like much is happening, but the delicate chrysalis process changes the fuzzy caterpillar into an awesome butterfly with wings of intricate designs and intense colours. The chrysalis process symbolizes how Christ can transform you into something beyond your dreams. It happens when you grow beyond yourself, opening your life to Jesus’ power and love. Chrysalis is the name that was chosen for the youth/young adult version of The Walk to Emmaus, its parent movement. The Emmaus movement is based on the story of the two followers who encountered the risen Christ on the road to Emmaus in Luke 24:13 - 35. A Chrysalis Flight is a three day spiritual renewal event, which provides participants with an opportunity to grow in their faith. It is a time to experience Christian love and make new commitments. The focus will be on how, through the prayers and actions of other Christians, one can experience Jesus as a friend. The point is to inspire, challenge and equip you for a closer friendship with Christ and for Christian action at home, church, school, and community.

The purpose of Chrysalis:

The purpose of Chrysalis is commitment to Jesus Christ through the local church. Chrysalis will inspire, challenge, and equip local church youth for a closer friendship with Christ. It will also encourage Christian action at home, school, university and in the community. In order to achieve its purpose, Chrysalis offers specific opportunities after the weekend. As part of a larger community these include:† Regular gatherings for fellowship and worship† Meetings to maintain spiritual accountability† Training to participate in future Chrysalis or Emmaus events.

Who should go to Chrysalis?

Chrysalis is for the development of Christian youth and young adults, of any denomination, between the ages of 18 and 26. It is for those who wish to strengthen their friendship with Jesus Christ, may have unanswered questions about their faith, understand that being a Christian involves responsibility, are open to dedicating their everyday life to God.


What happens on a Chrysalis Flight?

You’ll spend three days with other people your age in worship, prayer, fellowship, creative expression, recreation, singing, and discussion. You’ll experience the love of God through prayers and the acts of service from a loving support community. Think of it as three days for you to discover or re-discover your spiritual self, to analyse and realize who you are in Christ. You’ll hear talks that focus on the needs of maturing youth or young adults, the message of the gospel and the love and example of Jesus Christ. Each day speakers present topics with life examples, followed by discussion, reflection, and creative expression of how these messages can encourage your personal faith. The 72 hours is a sacrificial offering on your part – we therefore ask that you leave your cell phone at home.

What happens after a Chrysalis?

One of the primary strengths of Chrysalis is the follow up. Your weekend lasts three days, but you are invited to build on it for the rest of your life by expanding your spiritual life through study and congregational participation and becoming more active as a disciple of Christ in the world through your home church. To nurture this discipleship, Chrysalis offers specific opportunities:

Small “Reunion Groups” that meet regularly to maintain spiritual accountability.

Community Gatherings for fellowship and worship (± 10 annually).

Opportunities and training to serve on future Flights, Walks or Encounters.


How to apply to participate in Chrysalis:

The attached form needs to be completed by:
1. The Applicant.
2. The Spiritual Sponsor. This is someone who has attended a Chrysalis Flight or Walk to Emmaus and who will undertake to explain theweekend as well as pray for the participant and assist in practical requirements.
3. The Applicant’s own Minister or Pastor, so that the applicant is under submission to the home church (If the Minister or Pastor requires more details, the Community Spiritual Director can be contacted on csd@gloriosa.emsa.org.za)
† The SPIRITUAL SPONSOR then needs to e-mail the completed form to registrar@gloriosa.emsa.org.za† Your application will be prayerfully considered and you will be informed of your acceptance.
† In the event of cancellation or query, please contact the Registrar on: registrar@gloriosa.emsa.org.zaCost

The current cost of the three days is R990,00 which includes accommodation and all meals. We ask that this amount be settled before the Flight starts. In the event of it being necessary to cancel once you have been accepted on the Flight, please let the Registrar know immediately so that the place can be offered to another person. The fee is non-refundable but can be carried forward to a future flight. The dates of the flights are Boys and Girls – 5-7 July 2024


Flight number *
Date.- 5 to 7 July 2024
Sponsors Name and Surname *
Sponsors Email Adress *
Sponsors Cell Number *
Participant's (Caterpillar) Surname *
Participant's (Caterpillar)  First Name / Name you want to display on name tag's etc. *
Participant's (Caterpillar) ID number *
Participant's (Caterpillar)  Date of Birth *
Participant's (Caterpillar) Address *
Participant's (Caterpillar) - Cell number *
Participant's (Caterpillar)- Email address *
Participant's (Caterpillar) - Church you attend *
Minister/Rev/Pastor/Ds   Name and Surname *
Minister/Rev/Pastor/Ds   Email adress
 *
Minister/Rev/Pastor/Ds   Cell Number *
If under 18 - Parent / Guardian name *
If under 18 - Parent / Guardian Cell *
If under 18 - Parent / Guardian email *
Medical - Special requirements *
Special needs for sleeping *
Diet - Special requirements *
Contact person 1 in case of Emergency. Provide name and Cell number *
Contact person 2 in case of Emergency. Provide name and Cell number *
Contact person 3 in case of Emergency. Provide name and Cell number *
POPI act: As per the POPI act we require all participants permission to send him/her community information and other communications. Our newsletter is not compulsory but would benefit you as it contains information about Emmaus events and prayer requests. Emmaus declares that your information will not be distributed or used outside the Emmaus Ministries environment. *
Required
Indemnity:
In consideration of the Walk to Emmaus Gloriosa Community:
• I hereby release and indemnify the Emmaus Gloriosa Community, its officers, leaders, agents and members against any liability (including negligence) in relation to participation in any activity connected with the aforementioned, or when travelling to and from such activity.
• I authorize the Emmaus Gloriosa Community, in the event of any injury or illness occurring in connection with any activity connected with the Emmaus Gloriosa Community, to obtain on my behalf and at my expense any medical treatment as may be considered appropriate by them. I agree to pay all costs associated with such injury or illness.
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