MTC New Servant Interest Form

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Would you like to serving or getting more involved in serving at Mountain Top Chrysalis?

Please fill out information to be included in team selection.

NAME *

ADDRESS, CITY, STATE, ZIP
*

HOME NUMBER

MOBILE NUMBER

Would you like to receive email updates & announcements?
*

YES

BIRTHDAY *

YYYY

AREAS OF SERVICE (Outside of Conference Room)

KITCHEN

DINING ROOM

MUSIC

PRAYER CHAPEL

CLOWNING MINISTRY

BIG HOUSE

SETUP/TEAR DOWN

Clear selection

AREAS OF SERVICE (Outside of Conference Room)

MUSIC

SPIRITUAL DIRECTOR (Must fill out New Clergy Application)

TABLE LEADER/LOGISTICS

Clear selection

PREVIOUSLY SERVED OR ATTENDED (Check as many as Apply)
*

Caterpillar on a Chrysalis Flight/Journey

Team on Chrysalis Flight/Journey

Pilgrim on a Walk to Emmaus Weekend

Team on a Walk to Emmaus Weekend

Cursillo

Tres Dias

Other:

Required

Original Community *

For more information, please visit our website at mountaintopchrysalis.org.

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