Lake Cumberland Area Emmaus & Chrysalis
Mark & Kelly Coots, Registrar
64 Selby Hopper Rd.
Russell Springs, KY 42642
Mark (270) 866-1528 call or text
Kelly (270) 866-1529 call or text
or you can FAX: (270) 866-5993
Emmaus Pilgrim Application (Click Here)
Emmaus- Medical Form for Pilgrim to fill out
Application can be printed, filled out and mailed to the registrars OR you can save it to your desk top and email it to email@example.com
Deposit/payment (check) can be mailed or you can pay deposit/fee by using PayPal .
Need Adobe? Click
on the x to download Adobe
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.
Emmaus Worker Application/ Chrysalis Worker Application
Can be found under the Team Selection Tab.
NOTE: ALL Emmaus workers must be 18 years of age and older. No back ground check required to work Emmaus walks. Any adult working Chrysalis Flight must have a back ground check completed.
Note: Workers and Pilgrims/Caterpillars need a Medical form filled out. Please chose Chrysalis or Emmaus
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.