Contact

Paula Vergowven, EMSEM Registrar
Emmaus of Southeast Michigan
734-790-0189
emsem.registrar@gmail.com

Team Application - Fall 2018

Please note that you will be required to pay your registration fee via credit card before submitting your registration. If your church is paying your fee, we suggest you request reimbursement after you pay. We apologize for any hardship or inconvenience this presents.

* Required information

Personal Information

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    What walk would you like to serve on?

  • Fee

    Type Fee
    $75.00

Willingness to Serve

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    Have you had previous team experience?

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    I would like to serve:

  •  characters remaining
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    Where have you served in the past?

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    Conference room team members are required to attend 4 team meetings, are you able to do so?

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     characters remaining
  • Will you require a cot? Please note that pilgrims get first dibs on cots. Cots will only be available to team if there are any left over.

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     characters remaining
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    Will your sleeping area require electricity?

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    Checking this box authorizes release of emergency or medical information to Walk team members, and/or to medical or other emergency personnel who may be treating me.

$9,999.99

Payment

Payment Method

Payment Summary


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