Cradle of Texas Emmaus Community - Pilgrim Application

Cradle of Texas Emmaus Community - Pilgrim Application

Pilgrim Application Guidelines
Application Guidelies

In accordance with the policies established by the Board of Directors, we ask that you take special note of the following questions on this Request for Reservation. The Board has directed the Registrar to return any applications on which these questions are not fully answered and request additional information before accepting the application. It will help register you more quickly if you take note of these questions. Thanks!

INFORMATION REGARDING CHURCH MEMBERSHIP

Because Emmaus is not intended to make disciples, but rather to strengthen those who are already disciples, persons accepted for a Walk are expected to be active members of a Christian congregation. ALL EXCEPTIONS to this policy must be approved in advance by the Community Spiritual Director; please note this before you send the application in. Otherwise, we may have to return it to you.

Please indicate on this form the NAME of the congregation in which you are an active member. Students may indicate the church which they presently attend, if they have not formally moved membership during school.

INFORMATION REGARDING SPECIAL NEEDS

If you do not understand the question, “Has the Walk to Emmaus been explained to you,” please talk to your sponsor before you complete this form. Your sponsor should not sign this form until he/she has explained Emmaus and its follow-up to you.

It’s especially important that we know if you need a special diet, take medication, or have any special needs or challenges. It is rare that any such need cannot be met, so that you can participate fully in the Walk to Emmaus; however we need to know as far ahead as possible, so that we can make your Walk a fulfilling experience for you. NONE OF THIS INFORMATION WILL BE RELEASED except to those responsible for meeting your needs.

SIGNATURES REQUIRED ON THIS FORM

There are TWO signatures required on this form. All of them must be included, or we will return the form to you for completion, delaying your reservation. It is the responsibility of the SPONSOR to see that these signatures are complete.

1. Your own signature:

This is your free commitment to accept God’s invitation to attend the Walk. Therefore, you must sign the form personally, not by a sponsor, friend or spouse (who cannot make such a free commitment for you.)

2. Your pastor’s signature:

This signature is the commitment of the pastor of the congregation in which you serve, to work with you in developing your service to God after the Walk. Your pastor does not have to have made a Walk himself/herself, however, Emmaus is not intended to bypass or usurp the authority of the pastor of your congregation in any way. If your pastor is opposed to your attending a Walk to Emmaus, you will be unable to serve effectively after the Walk and you will only be frustrated and discouraged. Your SPONSOR should contact the pastor on your behalf, or with you, to help explain Emmaus and assure those who are uncertain or hesitant. Please call on the Community Spiritual Director for any assistance in explaining Emmaus. Obviously it is meaningless to have any minister other than your own pastor sign this form, since it completely defeats the purpose of the pastor’s signature.

3. Your Sponsor’s signature on the Sponsor Application:

This is your sponsor’s commitment, both to you and the Emmaus Community, that he/she will help you prepare for the Walk, care for your loved ones and family during your Walk, and help you become more active in service after your Walk. This signature emphasizes the great importance the Walk to Emmaus places on your sponsor.

ALL INFORMATION IS REQUIRED FOR PLACEMENT ON A WALK.

Room assignments and table assignments are done by the Walk team, NO requests are permitted.

If printing, return this signed application with your check to YOUR SPONSOR.

PAYMENT OPTIONS

Please see the Payment Information Section of this form to view payment options. Note: The application fee is $175.

Liability Release and Indemnity
LIability Release and Idemnity

For good and valuable consideration, including but not limited to my attending the Cradle of Texas Walk to Emmaus event, the receipt of which is hereby acknowledged, on behalf of myself, my representatives, heirs, executors, agents, successors, and assigns ("the Releasing Parties"), I release The Cradle of Texas Emmaus Community, their respective officers, directors, employees, agents, owners, heirs, executors, agents, successors, and assigns ("the Released Parties"), from any and all liability for injury to my person (including death), or damage to my property, arising in any way from this current event or any future Cradle of Texas Emmaus Community event, but not limited to, such injury or damage that may arise in whole, or in part, from the negligence of any of the Released Parties. I am fully aware of all the inherent and am willing to assume all risks involved.

I further agree that in the event any suit is instituted against the Released Parties arising in any way from my conduct, negligent or not, to indemnify and hold the Released Parties harmless from all liability and damages in connection therewith, including, but not limited to, the Released Parties attorney's fees and costs involved in connection with the defense of such action.

I further agree that in consideration of my being permitted to attend, I further authorize any of the Released Parties to use my picture or video production and statements (verbal or written) for publicity and promotional purposes in any manner they desire. I further agree that this is a liability release and indemnity agreement, executed, and thus immediately effective this day.
Liability Agreement*

I agree to these terms.
Signature for Liability Agreement*

Clear

Walk Information
Which Walk are you applying for?*
Has the walk been explained to you?*

YesNo
Name of Your Church*
If you do not have a church affiliation, please explain.
Your Pastor's Name*

First NameLast Name
Your Pastor's Email*
Pastor Phone #:
Sponsor's Name*

First NameLast Name
Sponsor's Email*
Sponsor's Phone #*
Why do you want to attend a Walk to Emmaus? *
Please explain.
Do you have any physical needs or limitations?*
Please list or type "none".
Do you take any medications that we should be aware of?*
Please list or type "none".
Do we need to be aware of any emotional issues?*
Please list or type "none".
Do you have any dietary restrictions?*
Please mention any allergies or limitations.

Pilgrim Signature
Your Approval*

By signing this form, you (pilgrim) agree to COTE's rules, conditions, liability release and indemnity waver. After you sign and submit the form, the application will be sent directly to your pastor's email for signature.
PILGRIM SIGNATURE: Please Type Your Name Here to Serve as Your Signature.
Use Your Full Name

Payment Information
Application Cost Is $175

PLEASE APPLY ONLY IF YOU CAN BE PRESENT FOR THE ENTIRE (3) THREE DAYS. 7:00 P.M. THURSDAY THROUGH SUNDAY CLOSING AND ATTEND THE FOLLOW-UP MEETING. ENCLOSE THE FULL FEE OF $175.00. MAKE CHECKS PAYABLE TO “CRADLE OF TEXAS EMMAUS COMMUNITY.” IN THE EVENT IT BECOMES NECESSARY FOR YOU TO CANCEL YOUR RESERVATION, PLEASE NOTIFY YOUR SPONSOR IMMEDIATELY. EACH APPLICANT MUST BE SPONSORED BY SOMEONE WHO HAS ATTENDED A WALK TO EMMAUS OR CURSILLO TYPE THREE-DAY WEEKEND. THE CRADLE OF TEXAS EMMAUS COMMUNITY ASSUMES NO RESPONSIBILITY FOR ACCIDENT OR ILLNESS.
Do you need scholarship assistance?*

YesNo
NOTE: Scholarships only cover a majority of the total cost. You will still need to make a payment of $25. You can pay now or send in a check. Click the appropriate payment option above. The registrar will be notified of your scholarship request and will contact you for further details to evaluate scholarship approval.
How do you plan to pay?*

Pay online NOW (full payment or scholarship amount only).Send in a check.
IMPORTANT:

If you choose Pay Online, you must follow through with payment or the application will not be submitted and you will have to start all over.

If you can't pay now, please choose the Send a Check option instead and continue submitting the application. You will have a chance to pay again online through a checkout form on the cotemmaus.org website.
To send in a check, please finish submitting this form, and then give your check to your sponsor to hand in for you, or send the check to:

COT Emmaus Community
P.O. Box 563
Lake Jackson, TX 77566

Payment Details
Pick a payment option
prevnext( X )
Pilgrim Application - $175$175.00
Full cost to attend Walk

Pilgrim Scholarship - $25$25.00
Scholarship cost to attend Walk

Total $0.00

Submit This Application
Click the button to submit the application and pay. You will be taken to the PayPal checkout page.

If payment is not needed, you will be taken to a Thank You page.

Your application will be sent to the registrar and to your Pastor for approval. You will receive an email upon Pastor approval.
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