CROSS BAYOU ‑ WALK TO EMMAUS

 

Request for Reservation

 

Please type or print neatly and fill out all information on this application.

THIS FORM, ALONG WITH PAYMENT IN FULL, MUST BE RETURNED TO YOUR SPONSOR

 

Walk Requested:         1ST Choice Date________Walk # ___________                Can you attend on short

                                     2ND Choice Date________Walk # ___________                 notice? Yes__ No__­

 

Last Name____________________ First name___________________ Nametag name______________­

 

Address_______________________________________ City_________________ St._____ ZiP_______

 

Home phone (___)____________    Business phone (___)_____________ Birthdate _________________

 

Male___ Female___ Married___ Single ___ Divorced ___ Widow(er) _______ # of children___________

 

E-Mail Address _______________________________________________________________________

 

Present Occupation ___________________________Church now attending_______________________

 

Has the Walk to Emmaus been explained to you, including post‑Emmaus follow up? ________________

 

Name, address, phone # of someone to contact in case of emergency ___________________________

and/or who can help us contact you prior to your Walk                           ___________________________

                                                                                                                  ___________________________

 

Text Box: HEALTH RELEASE FORM TO BE COMPLETED BY APPLICANT Please list all allergies, medications being taken, medical problems, special diets, physical handicaps, or other pertinent information that may affect your attendance and well being at your Walk to Emmaus weekend. Explain: __________________________________________________________________________________________________ __________________________________________________________________________________________________ In the event of an emergency, and if my closest relative and/or spouse cannot be reached by telephone, the Emmaus staff has my permission to gain the services of licensed medical professionals to provide the care deemed necessary including anesthesia, for my well being. Your signature ___________________________________________ Date _________________________  

 

 

 

 

 

 

 

 

 

 

 

Register ONLY IF YOU INTEND TO BE PRESENT FOR THE ENTIRE WEEKEND. Sponsor should already have
been on a Walk to Emmaus, Cursillo, or Tres Dias. No reservation will be accepted without the following items:

 

(1) Completed and signed application  (2) Completed sponsor's form

(3) Payment in FULL ($ 120)    Make checks payable to Cross Bayou Emmaus Community

 

REMEMBER: Return your completed and signed application along with payment in full to your Sponsor.

                    

 

What size T‑shirt do you prefer?   S     M      L      XL      XXL      XXXL

 

Your signature___________________________ Your pastor's signature______________________________

 

Sponsor's signature _______________________Sponsor's name (print or type)________________________


CROSS BAYOU ‑ WALK TO EMMAUS

 

Text Box: TO BE COMPLETED BY SPONSOR

 

 

 

Sponsoring a candidate is both a joy and a responsibility. There are things you must do for your candidate before, during, and after the weekend Remember also that the Walk to Emmaus is not structured to solve deep-seated personal problems. It is designed to provide, to those attending, a personal encounter with Jesus Christ.

 

Candidate’s Name ________________________________________________________________________

Your Name _________________________________ Address _____________________________________

City ___________________ State ____ Zip __________ Telephone (H) _____________(W) _____________

E Mail Address ___________________________________________________________________________

Name/ Denomination of church you attend _____________________________________________________

What Community sponsored your Walk to Emmaus? _______________________________ When ________

Where? _____________________________ Walk # ___________ Currently in Reunion Group? __________

Which group? ___________________ Meeting time? ________ Location? ____________________________

Has your pilgrim applicant ever attended a three-day weekend or served on a three-day weekend team? ______

Does your candidate have the physical and mental health needed for a Walk to Emmaus weekend? _______

Is your candidate under any temporary emotional strain? Should his/her weekend be postponed? _________

 

Will you                        Pray for your candidate?                                                             Yes      No
                        Bring your candidate to the Walk?                                                           Yes      No
                        Sign up for the prayer vigil?                                                                     Yes      No
                        Attend all the weekend community events?                                              Yes      No
                        Serve and sacrifice for your candidate’s weekend?                                    Yes      No
                        Help your candidate get into a reunion group?                                           Yes      No
                        Explain the monthly community gathering to your candidate?                    Yes      No
                        Accompany your candidate to the community gathering?                          Yes      No
                        Discuss Emmaus with their spouse?                                                       Yes      No
                        Care for their spouse and family during your candidate’s weekend?            Yes      No
                        Maintain minimal contact with your candidate during the weekend?            Yes      No

 

Text Box: CONFIDENTIAL INFORMATION FOR THE LAY DIRECTOR AND/OR SPIRITUAL DIRECTOR: Why did you sponsor this person for a Walk to Emmaus?___________________________________________________ ________________________________________________________________________________________________ Describe your candidate’s spiritual needs during their Walk: ________________________________________________ ________________________________________________________________________________________________ If possible, describe your candidate’s personality, spiritual growth, etc. to assist the team in seating, room assignment, etc _______________________________________________________________________________________  

 

 

 

 

 

 

 

 

 

 

 

Please indicate the size T-shirt that your pilgrim would wear:     S      M      L      XL      XXL      XXXL

Please attach payment for your pilgrim’s weekend: $ 120.00 plus $12.00 for their T-Shirt.

 

Signature: ________________________________________ Date: _______________

 

            Women’s Walk - mail to:             Men’s Walk - mail to:

            Annette Painter                       Geneva Hensley
            3359 Cypress Village Drive    2103 Normand Avenue
            Benton, LA  71006                  Bossier City, LA 71112
                                                            (318) 747-6465