First Name Last Name
Address
City State Zip Code
Home Phone Number Work Phone Number
Church you attend
Reunion group you attend
If you do not belong to a reunion group please tell us about an accountability group to which you belong:
Place and Number of your walk:
Date of Walk:
Check what applies on each line:
Walk Team: Spring Fall
Clergy Men’s Team: Spring Fall
Clergy Women’s Team: Spring Fall
Lead Music on a walk VOCAL only Instrument
Please tell us which instruments
Help with Walk setup Help with Walk tear down
Please list any positions you have held with another Emmaus Community, Tres Dias, Cursillo, or other related community such as team positions or Board of Director positions. Also identify any talks you have given in another community
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Give a 4 th day talk at Gathering Lead music at a gathering
Lead music at a regional gathering
Host a Regional Gathering Lead a Regional Gathering
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