Lake Cumberland Area Emmaus & Chrysalis
Emmaus Pilgrim Application(Click Here)
Emmaus- Medical Form
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
. All Chrysalis apps should be submitted on line or mailed to Camryn Coots.
Deposit/payment (check) can be mailed with your applications or you can pay deposit/fee by using PayPal .
Chrysalis Caterpillar Application (printable version) Click Here
Chrysalis-Medical FormCovid-19 Waiver
Applications you can use the on-line form, or you may print and fill out the app and mail it in to the Chrysalis Registrar. Prefer email or have a question? You can email firstname.lastname@example.org
A $30.00 deposit is required to hold caterpillar/ pilgrim spot.
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.
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.
64 Selby Hopper Rd
Russell Springs KY
We welcome our new
Kayla Glover and
Chrysalis Registrar Camryn Coots!