Lake Cumberland Area Emmaus & Chrysalis Community

Mark & Kelly Coots, Registrar
64 Selby Hopper Rd.
Russell Springs, KY 42642

Mark (270) 866-1528 call or text 
(270)​​ 866-1529  call or text​
​or you can FAX: (270) 866-5993

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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 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 link below to use Pay Pal
                           Emmaus Worker Application/ Chrysalis Worker Application                               
Can be found under the Team Selection Tab.​

                                         Click Here
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.