Please fill in all information

This form is for the Data Base to be updated.

Please provide the following contact information:

Gender Rainbow's End Walk or Flight # Other Community Walk #
 
Weekend Date (MM/DD/YYYY) Birth Date (MM/DD/YYYY) Current Board Position
   
 

First Name

 

 Last Name 

 

Street Address

 

Apartment Number

City

State

 

Zip  

Home Phone

 

Work Phone
Cell Phone    

Church you Attend

 

City

Denomination

 

   

Occupation

E-mail 

Reunion/ Accountability Group Name
Would you like to receive the newsletter by email? Yes
Do you play a musical instrument? List:
Can you be a songleader? Yes Are you a member of the Clergy? Yes

 

"Live-In" Team Service-- Please Detail ALL information you can to assist in team selection
Walk # Date (MM/DD/YYYY) Team Role Talk Given

Willing Servant Responses -- Where are you willing to serve?   

Please check all that apply:

Help to prepare and serve the team a meal at team meetings?  Team  Meal
Help to setup and cleanup for the Candlelight Dinner? Candlelight Dinner
Help prepare, setup and stay for cleanup of the Agape Feast? Agape Feast
Help setup camp in preparation of a Walk or Chrysalis Flight? Walk Setup
Play instruments or sing for a walk, community or on a team?

Music
Be on a team for an Emmaus Walk or Chrysalis Flight? Live-In Team
Work as an Outside Servant in the area of the Chapel? Outside Chapel

Work as an Outside Servant in the area of Agape?

Outside Agape

Work as an Outside Servant in the area of Food?

Outside Food
Work as an Outside Servant in the area of the 72 Hour Chapel? 72 Hour Chapel
Help set up and take down the Luminaries? Luminaries
Pray for 30 minutes for the 72 Hour Prayer Vigil?

 Prayer Vigil

Help to go through and restock the trailer and cabinet supplies? Work Trailer
Prepare a snack and help setup/cleanup for a Community Meeting? Community Snacks
Help with Babe Chick Training just prior to Community Meetings? Babe Chick Train
Prepare and give a 4th Day Talk at a Community Meeting? 4th Day Talk
Help prepare, sort, fold, stamp or mail the newsletter? Newsletter
Help to enter information into the Database address program? Database
Just call me for any need, I'm willing to be a servant in any capacity? Any need-Call me
Help in any other way?   Comments Other Help, Describe



 Copyright Rainbow's End Emmaus 2005.
For problems or questions regarding this web contact Allen.
Last updated: 10/06/07.