Seven Mile Walk with Jesus
Pilgrim Application @ Skycroft
Name: ______Name You like to be called ______
Address: ______City:______
State: ______Zip: ______E-Mail______
Home Phone: ______Mobile Phone: ______
Emergency Contact: ______Phone Number: ______
Gender : Female Male Birthdate: ______Occupation: ______
Marital Status: Married Single Divorced Widow(er) Spouse’s Name: ______
Name & Denomination of Church you attend: ______
City/State: ______Name of Pastor: ______
The Seven Mile Walk with Jesus community is committed to ensuring the participation of all eligible persons, regardless of how he/she isphysically challenged. In order to make this a reality, we need information that would help us assist you. Please check the appropriate boxes below.
Special diet:______. Mobility Hearing Impaired Snoring Allergies Medical conditions: ______
Other, please describe:______
For deaf weekends: which sign language or interpreting do you prefer? ASL Signed English Oral Interpreting
Please give a brief statement about why you wish to attend a Seven Mile Walk with Jesus weekend, what you expect from it, etc. and/oranything about yourself and your faith you wish to share.
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A deposit of $50 must accompany this application. If you areassigned to a weekend and fail to attend you will be invited two other times. The deposit will not be refunded. Inaddition to the deposit, there is currently a donation of $200 for each individual to attend aweekend. Individuals who have experienced the weekend and wish to share that experience with others are underwriting the cost of your weekend. Your sponsor can supply you with information about the dates forupcoming Weekends. If selected for a weekend you will be notified approximately two months before theweekend. After you have completed this side of the form, give it to your sponsor for completion. Be sure to includeyour $50 deposit made payable to Maryland Emmaus, Inc..
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Signature of Applicant Name of Sponsor (Print)
(Sponsors see reverse side)
Sponsor’s Recommendation Form
* As of June 2007, all information to sponsors will be sent via e-mail. Makesure your e-mailis legible and current.
Sponsors: read the following statement carefully and give it your prayerful consideration. The Seven Mile Walk with Jesus is a tool churches can use to renew Christian leaders. Individuals sponsored for a weekend should have an active desire to deepentheir faith and become closer to Jesus Christ. The Seven Mile Walk with Jesus is NOT for everyone! Sponsors should be discerning in their sponsorship. No potential candidate should be made to feel that he/she is under any obligation or pressure to attend a weekend.
Sponsors have a huge responsibility. The maximum number of candidates a single person can sponsor per weekend is one. If ahusband & wife team both have attended a weekend and a 4th Day workshop, then the couple can sponsor twopilgrims per weekend (one pilgrim each). A Sponsor should provide information about the 4th Day Movement andthe Seven Mile Walk with Jesus weekend to the applicant; to assist the pilgrim into fellowship; to provide transportation to and from the weekend; to support their family during the weekend; and to provide any other assistance as may be required. Ifyou agree with all of the above, please complete the remainder of this form.
To Be Completed By Sponsor(print legibly)
Sponsor’s Name: ______
Address: ______
City: ______State/Zip: ______
Home Phone: ______Cell Phone: ______
Email______
Where and when did you attend your EMMAUS/CURSILLO Weekend?
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Where and when did you attend a 4th Day Workshop? (This is required in order to be a sponsor.)______
Has the candidate’s spouse attended a weekend? No Yes When? ______
PLEASE NOTE: Skycroft Conference Center is still upgrading to ADA specifications and compliance but is not totallyaccessible at this time. The Seven Mile Walk with Jesus communityis committed to ensuring the participation of all eligible persons, regardless of how he/she is physicallychallenged. In order to make this a reality, we need information that would help us assist your Pilgrim. Please ensure the candidate has filled out the front of this application completely. If your pilgrim requires special rooming facilities or needs assistance moving about the grounds of the facility, make sure that the Pilgrim Registrar is informed. For more information, contact the Pilgrim Registrar.
Sponsor’s Signature: ______Date: ______
Return complete application to the Pilgrim Registrar:
Seven Mile Walk with Jesus
C/ODenise Lewis
390 N. Gorsuch Rd., Westminster, MD 21157 E-mail:
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