Channel Islands Walk to Emmaus

PILGRIM REQUEST FOR RESERVATION

This page should be completed by the Pilgrim & sponsor. The Walk to Emmaus is an international Christian spiritual renewal movement that is ecumenical, although it is administered by the United Methodist Church. The purpose of Emmaus is the renewal of the Church as the body of the risen Christ in the world - through the renewal of church members as faithful and committed disciples of Jesus Christ. The Emmaus weekend runs from Thursday evening through Sunday evening and is a short course in Christianity, meant to deepen your knowledge of God's grace in your life. The following questions will help the Channel Islands Emmaus Community Board of Directors when they consider your request. Please complete all questions. (This form and personal info will be held by the lay director of your walk, and destroyed after the weekend.)

Chose One

Men's Weekend

Women's Weekend

Title

First name

Last name

Martial Status

Name Desired On Name Tag

Cell Phone

Another Number

Type

Address (Number and Street)

City, State, Zip Code

Birthday

Month

Day

Year

Occupation

State why you would like to attend an Emmaus weekend, and what you expect to obtain from it:

The weekend is a very full one. It is comprised of singing, praying, talks, discussion and meditation; there is limited free time.

Please list the names of all medications you take:

Do You Require a Special Diet

What Are Your Diet Restrictions

Please List Any Medical Conditions You Have

Please List Any Allergies You Have

Are you currently undergoing a difficult emotional or spiritual time? If so, please explain:

The Walk to Emmaus is meant for active Christians. The theology presented is traditional, mainline theology.

Name of Home Church

Church Denomination

Church Address

Pastor's Name

Church Phone

Name of Your Sponsor

Emergency Contact Name (Other than your spouse)

Emergency Contact Address

Emergency Contact Phone

Emergency Contact Email

Signature (Choose Written or Typed)

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Date

Do not submit the form until you have completed all of it.

You will only get one try at it.

Thank You