Chrysalis Sponsor Form |

To sponsor a Caterpillar for a Chrysalis Walk online, please complete the following Sponsor Form:

Completed Sponsor Form AND Caterpillar Application, are required to complete this registration. ONLY completed registrations will be given first priority. Incomplete registrations will be added to the waiting list until completed.

Please send your $25.00 deposit or $200.00 full registration fee to the following:

Jackie Finley
42 Riverview Ln
Cleveland, MS 38732

PLEASE MAKE SURE YOU PUT THE APPLICANT’S NAME ON YOUR CHECK.

Fill out all required fields below and click the submit button. If you are not directed to the Home Page, scroll up through your form entry and check for errors.

Chrysalis Sponsor Form

1Sponsor

2Co-Sponsor

* Required Fields
Candidate Last Name*
Candidate First Name*
Address*
Street Address City State ZIP Code
Email*
Which Flight?*
Are you praying for and sacrificing for your candidate?*
Why do you feel this person would be a good candidate for Chrysalis?*
Does the candidate have the physical and mental health needed for a Chrysalis weekend?*
Are you aware of the importance of minimal contact with your candidate during the weekend?*
Is the Candidate under any temporary emotional strain that might indicate his/her weekend should be postponed?*
Are you able and willing to assist the candidate to get into a reunion group?*
Have you explained the post-weekend Community Gathering to the candidate?*
Are you able to carry the candidate to the Chrysalis site?*
Will you attend Sponsor’s Hour?*
Will you attend Candlelight?*
Will you attend Closing?*
Will you attend Community Gathering?*
(Only members of the Emmaus and Chrysalis community can attend the above listed events. Parents are able to attend the Chrysalis closing – no cameras.)
Does your candidate need any scholarship assistance?*
If yes, you are asked to contact the candidates church or community for help first. If financial assistance is still needed, please email Jackie Finley @ cmschrysalis@yahoo.com.
ADULT SPONSOR INFORMATION
Sponsor Last Name:*
Sponsor First Name:*
Sponsor Address:*
Street Address City State ZIP Code
Sponsor Phone:
Sponsor Email:*
Name/Denomination of Sponsor’s Church:*
Where did you make your Flight/Walk?*
When did you make your Flight/Walk?*
Are you now a member of a Chrysalis/ Emmaus reunion group?*
If yes, please enter the Chrysalis/ Emmaus reunion group,
How many candidates have you sponsored in the last year?*

If there is no Co-Sponsor, please page down to the bottom, click "I am not a Robot" and follow the instruction. When you have been verified, click submit.
CO-SPONSOR INFORMATION
Sponsor Last Name:
Sponsor First Name:
Sponsor Address:
Street Address City State ZIP Code
Sponsor Phone:
Sponsor Email:
Name/Denomination of Sponsor’s Church:
Where did you make your Flight/Walk?
When did you make your Flight/Walk?
MM slash DD slash YYYY
Are you now a member of a Chrysalis/ Emmaus reunion group?
If yes, please enter the Chrysalis/ Emmaus reunion group,
How many candidates have you sponsored in the last year?
Help us prevent spam by entering the characters below:

Chrysalis Sponsor Form

Chrysalis Sponsor Form

* Required Fields

(Only members of the Emmaus and Chrysalis community can attend the above listed events. Parents are able to attend the Chrysalis closing – no cameras.)

If yes, you are asked to contact the candidates church or community for help first. If financial assistance is still needed, please email Jackie Finley @ cmschrysalis@yahoo.com.

ADULT SPONSOR INFORMATION

If there is no Co-Sponsor, please page down to the bottom, click "I am not a Robot" and follow the instruction. When you have been verified, click submit.

CO-SPONSOR INFORMATION

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