Tidewater Chrysalis Sponsors Application
Greetings! We are excited to welcome you on the weekend experience. Tidewater Chrysalis will be held at Triple R Ranch from January 13th 8am - January 15th (MLK Holiday) 5pm. If you have any issues accessing or submitting this form please contact (Call or Text) the Chrysalis Registrar at 757-572-3787 or email to tidewaterchrysalisregistrar@gmail.com
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Email *
Full Name *
Cell Phone Number *
Address *
Street
City, State, Zip *
Caterpillar's Name *
What church do you attend? *
What was your Chrysalis or Emmaus Flight/Walk number?  *
Does the applicant have the mental/physical health required to participate in Chrysalis? *
Please list/describe any information the team should be aware of regarding this applicant *
Before sponsoring an individual on a Chrysalis Flight, please make sure you are prepared to...
1. Fully explain Chrysalis to your applicant and parents/guardians; retrieve application and permission form
2. Acquire 10 minimum special letters from the applicant's family, friends, and/or church community
3. Make every effort to acquire the $235 participant fee
4. Attend sponsor's hour, candlelight, and closing
5. Actively participate in their 4th day: Provide transportation to Chrysalis Rushes and Emmaus/Chrysalis gatherings; stay in communication; encourage reunion group and ongoing participation in the Community
Sponsor's E-Sign *
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