Lake Cumberland Area Emmaus & Chrysalis Community
EMMAUS Registrar
​Kayla Glover
​775 Mount Moriah Rd
Summer Shade KY 42166
Emmaus  Pilgrim Application to Attend a Walk
​​Application can be printed, filled out and mailed to the registrars
​OR you can save it to your desk top
​and email it to​
Printable Form

Medical Form 

Emmaus/Chrysalis Registration Fee $30.00 click the DONATE  below to use Pay Pal. You can pay with a credit card, debit card or by a Pay Pal account. 
Need help knowing how to ask for those 12 Agape Love letters for your Pilgrim/Caterpillar? Try using this form. Just click here.

If paying fees for a pilgrim or a caterpillar please make sure to list this person name in the purchase details.
CHRYSALIS Registrar 
Chrysalis Applications to Attend a Flight
You may use the on-line form print and fill out the printable app and mail it in to the Chrysalis Registrar on the app.​  ​​​ Prefer email or have a question? You can email 

Online Form​

All deposits may be mailed to the registrar listed on the application OR you may click on the PayPal link at the bottom of the page to pay your deposit.