Pilgrim/Sponsor Applications

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)

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.

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

Pay deposit via Tithe.ly

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.

Click Here for Face to Face Pilgrim Application

Use this application if you want to sponsor someone on a Face-to-Face Encounter.

Please mail applications to:

Sadie Humphreys

778 Humphreys Road

Wingo, KY 42088

Applications for the next Encounter will be available in earlier 2026.

If you have any questions, please reach out to Cherry Pyron, Face to Face Community Lay Director at tcjpyron@gmail.com