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Walk to Emmaus Pilgrim Applications

The Walk to Emmaus application is a three-part online application. One each for the Pilgrim, one for the sponsor,

and one for the Pilgrim's Pastor

Step 1: Send a link for Pilgrim to fill out. Click to Open the Pilgrim Application

Step 2: Sponsors fill out the form from this link. Click to Open Sponsor Form

Step 3: Send this link to the Pilgrim's Pastor or Clergy to fill out. Click to Open Pastor/Clergy Form

Step4: Pay a minimum $25 deposit

     OR

  • Via check to 

​Emmaus Registrar

750 McDay Lane

Dexter KY 42036

Applications & deposits must be submitted to the Registrar seven (7) days before the Send-off of the Walk the Pilgrim is to attend. The remainder of the payment can be paid via Tithe.ly or with the Registrar at Send-off

If the online form CANNOT be filled out, a PDF of the "paper" copy can be found HERE. If at all possible, use the online forms in Step 1-3. 

Chrysalis Participant and Sponsor Applications

Chrysalis Flight #51 January 17-19, 2026

 

 

The Purchase Chrysalis application is a three-part online application. One each for the applicant (by the parent), one for the sponsor,

and one for the Participant’s Pastor

 

Step 1: Send a link for Participant to fill out: https://bit.ly/Chrysalis-Applicant

 

Step 2: Sponsors fill out the form from this link: https://bit.ly/Chrysalis-Sponsor

Step 3: Send this link to the Participant’s Pastor, Clergy, or Church Youth Leader to fill out: https://bit.ly/Chrysalis-Clergy. Once the participant and sponsor forms are completed, the registrar will follow up with the pastor to complete the form.

 

Step4: Pay a minimum $25 deposit:

 

  • Pay deposit via Tithe.ly (Please put in the memo who the participant is)

     

OR

 

  • Via check to 

Chrysalis Registrar

C/O Erin Beliles

5119 US Hwy 68 W

Benton, KY 42025

 

The remainder of the payment can be paid via Tithe.ly or with the Registrar at Send-off

 

If the online form CANNOT be filled out, a PDF of the "paper" copy can be found at https://bit.ly/Chrysalis-Application

© 2026 Purchase Area Fourth Day Community   email to ask more questions: media@pawte.net

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