Pilgrim confirmation

We ask that the person who completes this pilgrim confirmation form is one of the applicant(s) themselves. Only one applicant per set of pilgrims is required to fill out our pilgrim confirmation form. We ask that this form be filled out within 30 days of the next set of Emmaus Walks. The purpose of this form is to confirm who will be attending our upcoming Emmaus weekends. Please note that optional fields are marked with an asterisk. We appreciate you taking the time to fill out this form.

Applicant information

Your information

First name:Last name:

Gender:MaleFemale

Will you be in attendance for the upcoming Walk to Emmaus weekend?

Your spouse / significant other (if applicable)

*First name:*Last name:

*Gender:MaleFemale

*Will your spouse / significant other be in attendance for the other upcoming Walk to Emmaus weekend?

Sponsor information

Your sponsor's information

Sponsor's first name:Sponsor's last name:Sponsor's email:

Payment information

The early bird fee to attend the Walk to Emmaus is $

250

and it's due one week before our Men's Walk to Emmaus weekend. If paid afterward, the cost becomes $

275

per person at the door. Please let us know how you intend to settle any balance that is owed for your Walk to Emmaus weekend(s):

The balance that I owe:has already been paid in fullwill be put in the mail as soon as possiblewill be paid by my churchhas been approved by the Emmaus board of directors as a need-based scholarshipwill be paid at send-off

Getting your payment in on-time is the last crucial step for attending the Walk to Emmaus. If need be, payments can be made in installments. Need-based scholarships are available upon request by submitting an email to the Emmaus board of directors. All checks should be made out to "CCEC" or "Central Carolinas Emmaus Community" and sent to our address at:
‍

Central Carolinas Emmaus
Attention: Registrar

c/o St. Stephen UMC

6800 Sardis Road

Charlotte, NC 28270

Authorization

Your signature:Today's date:

As one of the applicant's (the person filling out this online document), by placing your full legal name in the box above and by dating this Pilgrim confirmation form, you are establishing what your attendance commitment to us will be for the upcoming Emmaus weekends as indicated.

Thank you! Your Pilgrim confirmation form has been received!

We have just sent an email that notifies your sponsor that you have successfully submitted this form.

If you have any questions or concerns that we can address for you about Emmaus, please feel free to contact any of our board members directly or you can send an email to:

centralcarolinasemmaus@gmail.com

and we will be happy to respond. Thanks!

- The Central Carolinas Emmaus Board

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