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Team Service Application – Men’s Walk

You can complete and submit this application online OR click the button below, download a Word DOC.X copy, complete it by hand and mail it to the registrar’s address at the bottom of the form. Be sure to pay your Team Fees of $150 (either online or by check) when you submit your application. If you pay online, there is an additional charge.

Click Here To Pay Your Team Fees

Team Service Application - DOC.X

Northeast Louisiana Walk to Emmaus

Team Service Application - Men's Walk

Your Name

Address

City

State and Zip Code

Home Phone

Cell Phone

Work Phone

Email Address

Present Occupation

Employer

Church You Attend

Clergy? Clergy? Yes No

Church Address

City

State and Zip Code

Pastor

Church Phone

Indicate Your Church Activities

Do you meet regularly in a reunion group? Do you meet regularly in a reunion group? Yes No

Name of Group

Group Time and Location

I Attended Walk #

Walk Location

Are you musically gifted? Are you musically gifted? Yes No

If so, what instrument(s) do you play?

Do you have any dietary needs? Do you have any dietary needs? Yes No

If so, what are your dietary needs?

I have served on the following Emmaus Teams (please fill out completely):