Signal Mountain Emmaus Community
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Database Information Form Signal Mountain Emmaus Community
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Indicates required field
Name
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First
Last
Sex
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Male
Female
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Required to receive email reminders about community events
Home Phone Number
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Work Phone Number
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Cell Phone Number
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Birthday
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Pilgrim Walk # and Location
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Church
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Experience: Please list all walks worked, your position, the date, and any talk you gave
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Previous walks /dates/ lay directors
Are you a clergy/ordained person?
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Yes
No
Are you interested in working a Walk to Emmaus?
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Yes
No
Are you interested in serving on a music team for a Walk to Emmaus?
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Yes
No
Do you play an instrument?
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Yes
No
If so, plese list which instruments you play
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Are you involved in a reunion group?
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Yes
No
If yes, please list the reunion group's name, meeting time, meeting location, and contact person
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Submit