Lake Cumberland Area Emmaus & Chrysalis Community

Genetta Kinney
18 Zacks Landing
Somerset Ky 42503
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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
​Deposit/payment (check) can be mailed or you can pay deposit/fee by using PayPal . 
​                                     Thank you                                                   

Chrysalis Caterpillar Application
(Click Here)

Chrysalis- Caterpillar/ youth worker  Medical Form
Chrysalis Adult (workers 18+) - Medical Form 
Applications can  be Printed, filled out and mailed OR completed, saved to desktop and emailed to

A $30.00 deposit is required to hold caterpillar/ pilgrim spot.

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.​

                                         Click Here

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.