Applications

Lake Cumberland Area Emmaus & Chrysalis Community

EMMAUS Registrar
Genetta Kinney
18 Zacks Landing
Somerset Ky 42503
606-271-9185
email:
registrar.lcemmaus@gmail.com

Emmaus Pilgrim Application (Click Here) Printable form

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 registrar.lcemmaus@gmail.com. All Chrysalis apps should be submitted on line or mailed to Tracey Pierce.
Deposit/payment (check) can be mailed or you can pay deposit/fee by using PayPal .
Thank you

Chrysalis Caterpillar Application (printable version)
(Click Here)
Chrysalis-Medical Form
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 lcaecc@outlook.com
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.
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.

If paying fees for a pilgrim or a caterpillar please make sure to list this person name in the purchase details.

CHRYSALIS Registrar
Tracy Pierce
820 Abrell Rd.
Columbia KY 42728
270-634-1741
lcaecc@outlook.com

Chrysalis Application On-line form
Click Here