Chrysalis Team Registration |

We are currently experiencing technical issues with the website. When submitting an application for a pilgrim or team, if you receive an error message, please note the website is forwarding the application. If you have a question about whether it was received, please email centralmsemmaus@gmail.com

Everyone who wishes to serve on a team MUST have an application on file. The names of the applicants are given to the Lay Directors six months prior to the weekend of the Flight. As a team member, your registration fee will be $225.00 for the expense of food and lodging on the flight weekend.

If scholarship assistance is needed, you are asked to contact your church or community for help first. If financial assistance is still needed, please email cmschrysalis@yahoo.com and give details. All team financial assistance must be approved by the Chrysalis Board.

Remember; DO NOT be discouraged if you are not asked to serve on a Chrysalis Flight right away. You will be called when the Lord leads.

Please complete the following information and click on Register to submit your information to work a Chrysalis Flight.

Chrysalis Team Application

* Required Fields
Date of Application*
MM slash DD slash YYYY
Name*
First Last
Spouse's Name, if applicable:
Maiden Name
Address*
Street Address City State Zip Code
Emergency Contact:
Emergency Contact Phone:
Date of Birth*
Month
Day
Year
Gender*
Email*
Primary Phone*
Secondary Phone
Original Walk/Flight*
Which Flight?*
Abilities and Interests
- Sing
- Lead Singing
- Play Guitar
- Play Piano
- Type/Bring Computer or Printer to Walk
- Other
If "other" selected, please describe:
Please select where you would like to serve.
Experience
Did you work a Walk or Flight? Walk/Flight Number Talk or Job
If you cannot serve on a team, would you like to ...
- Setup for Saturday Night Party
- Work on the Prayer Chain
- Other
If "other" selected, please describe:
Are you physically limited in any way that would need to be considered on team assignments?*
If yes, please explain
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Chrysalis Team Registration

Chrysalis Team Application

* Required Fields

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Did you work a Walk or Flight?	Walk/Flight Number	Talk or Job