DaySpring Emmaus Service Sheet

DaySpring Emmaus Service Sheet
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*

MonthDayYear
Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
Walk # & Location*
Church*
As an act of agape, I would like to serve the work of the Lord in these areas on the Emmaus Walk (different form for clergy):*

Agape TeamKitchen TeamMusic TeamTable LeaderAssistant Table Leader - SpeakerPowerPoint AgapeSound TechnologyEntertainment for Saturday NightsScholarship Donation
Music Team - I play:

KeyboardGuitarBassDrumsOther
Entertainment for Saturday Nights - I can:

SingPerforming skit or comedy routinePlaying musicOther
Scholarship Donation

Emmaus Pilgrim ($150)Emmaus Team Member ($150)
Sound Technology
Specify experience:
Have you served on a previous Emmaus Walk?*

YesNo
Position Held     Walk # & Date
Lay Director
Walk #   Date
Asst. Lay Director
Walk #   Date
Clergy
Walk #   Date
Table Leader
Walk #   Date
Asst. Table Leader
Walk #   Date
Music Team
Walk #   Date
Agape Team
Walk #   Date
Agape Team Leader
Walk #   Date
Kitchen Team
Walk #   Date
Kitchen Team Leader
Walk #   Date
PowerPoint
Walk #   Date
Sound
Walk #   Date

Talks Given
Please verify that you are human*
Should be Empty: