Lake Cumberland Area Emmaus & Chrysalis
Community
EMMAUS Registrar
Kayla Glover
775 Mount Moriah Rd
Summer Shade KY 42166
270-670-5215
email:
registrar.lcemmaus@gmail.com
Kayla Glover
775 Mount Moriah Rd
Summer Shade KY 42166
270-670-5215
email:
registrar.lcemmaus@gmail.com
Emmaus Pilgrim Application(Click Here) Printable form
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 registrar.lcemmaus@gmail.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 .
Thank you
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 registrar.lcemmaus@gmail.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 .
Thank you
Chrysalis Caterpillar Application (printable version) Click Here
Chrysalis-Medical Form
Covid-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 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.
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.
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
Camryn Coots
64 Selby Hopper Rd
Russell Springs KY
42642
270-866-1532
lcaecc@outlook.com
Camryn Coots
64 Selby Hopper Rd
Russell Springs KY
42642
270-866-1532
lcaecc@outlook.com
Chrysalis Application On-line form
Click Here
Click Here
We welcome our new
Emmaus Registrar
Kayla Glover and
Chrysalis Registrar Camryn Coots!
Emmaus Registrar
Kayla Glover and
Chrysalis Registrar Camryn Coots!