DaySpring Emmaus Service Sheet

DaySpring Emmaus Service Sheet
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birthdate *

Month Day Year
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 Team Kitchen Team Music Team Table Leader Assistant Table Leader - Speaker PowerPoint Agape Sound Technology Entertainment for Saturday Nights Scholarship Donation
Music Team - I play:

Keyboard Guitar Bass Drums Other
Entertainment for Saturday Nights - I can:

Sing Performing skit or comedy routine Playing music Other
Scholarship Donation

Emmaus Pilgrim ($125) Emmaus Team Member ($125)
Sound Technology
Specify experience:
Have you served on a previous Emmaus Walk? *

Yes No
Please check the positions you held on the Emmaus Walk, Walk #, and dates.

Position Held     Walk # & Date
Lay Director
Walk #   Walk Date
Asst. Lay Director
Walk #   Walk Date
Table Leader
Walk #   Walk Date
Asst. Table Leader
Walk #   Walk Date
Music Team
Walk #   Walk Date
Agape Team
Walk #   Walk Date
Agape Team Leader
Walk #   Walk Date
Kitchen Team
Walk #   Walk Date
Kitchen Team Leader
Walk #   Walk Date
Clergy
Walk #   Walk Date
Should be Empty: