Southern Ohio Emmaus - Sponsorship Form

Southern Ohio Emmaus - Sponsorship Form
This application is to be filled out by the Sponsor. Please fill out all questions. The questions marked with a red asterick must be filled out to submit this form.
Your Pilgrim's Full Name:
What walk is your pilgrim planning to attend, please select one:
Sponsor's name:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Cell phone:
Format: (000) 000-0000.
Work Phone:
Format: (000) 000-0000.
Name of the Emmaus Community of the walk you attended:
Your Walk number:
Church you attend:
Pastor's Name:
Have you ever sponsored someone?
Have you attended a sponsorship class?
If you have not attended a sponsorship class, you MUST have a co-sponsor who has attended a sponsorship class.
Co-sponsor name (if required):
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Cell phone:
Format: (000) 000-0000.
Work phone:
Format: (000) 000-0000.
PLEASE ANSWER THE FOLLOWING QUESTIONS
Have you explained the Walk to Emmaus to your pilgrim?
Does your pilgrim have any special needs we should know about?
If so, please explain?
Have you explained the $165 fee to your pilgrim?
Who will be responsible for paying the pilgrim's fee?
If a scholarship is needed to help cover pilgrim fees, how much is needed? Please list an amount up to $82.50.
Scholarships are limited to up to one-half of the fee and based upon approval of the Board of Directors.
Do you, as a sponsor, understand that the registration fee is to be paid prior to attending the walk?
Will you be bringing your pilgrim to Camp Echo on Thursday night?
If not, Name of person who will?
Their phone number:
Format: (000) 000-0000.
Do you understand that it is your responsibility to attend to any needs your pilgrim's family may have while your pilgrim is on the walk?
Will you be attending closing on Sunday in order to give your pilgrim a way home?
If not, have you made arrangements for your pilgrim to get home?
Will you be available throughout the weekend in case of emergency?
If not, Name of who will?
Their Phone number:
Format: (000) 000-0000.
If you have any questions, please get in touch with the Registrar by email: registrar@southernohioemmaus.org

If paying for your pilgrim, please make checks payable to: Southern Ohio Emmaus. Write pilgrim name on check and which walk they are attending on memo line.

Please mail to : Cheryl Needs, 14821 Cohagen Rd, Logan OH 43138.

Or Pay Online at : https://southernohioemmaus.org/pay-online

If needed, you can also contact the Board Chairperson by email: chair@southernohioemmaus.org
Today's date:

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2 digit month, 2 digit day, 4 digit yearDate
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Southern Ohio Emmaus - Sponsorship Form

PLEASE ANSWER THE FOLLOWING QUESTIONS