SHANANDOAH PRESBYTERIAN PILGIMAGE
APPLICATION TO ATTEND A PILGRIMAGE WEEKEND
Date of Weekend Applied For:_____________
Name _______________________ Name you wish to be called, ___________________
Address ________________________________________________________________
Email ____________________________
Phone ______________________ home _____________________ work
Emergency contact and phone _______________________________________________
Sex____________ Birth Date _____________ Occupation ________________
Marital Status ____________ Spouse's Name __________________
Do you have special dietary needs? If so please specify __________________________
Do you have health problems that may affect your participation in the weekend? If so, please explain ____________________________________________________________
Name and denomination of your church _______________________________________
Church Address __________________________________________________________
Pastor's Name __________________________
List the church activities in which you participate _______________________________
_______________________________________________________________________
_______________________________________________________________________
Do you lead singing or playa musical instrument? If so, please specify ______________
_______________________________________________________________________
State briefly and frankly why you wish to attend a Pilgrimage Weekend, what your expectations are, and anything about your faith life that you would like us to know.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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After completing this form, return it to your sponsor with a deposit of $35. Checks should be made out to Shenandoah Presbyterian Pilgrimage (SPP).
TO BE COMPLETED BY THE SPONSOR
A sponsor must have attended a Pilgrimage, Walk to Emmaus, Tres Dias, Cursillo, or similar retreat. Attendance at a Day of Deeper Understanding or Fourth Day Workshop, where the responsibilities of sponsorship are discussed in detail, is strongly recommended. At a minimum, the sponsor will provide necessary information to the applicant, assist them with arrangements for the time away from home, and arrange transportation to and from the retreat weekend.
Sponsor's Name __________________________________________________________
Address ________________________________________________________________
Email Address ___________________________________________________________
Phone _______________________ home _________________________ work
Name and Address of home church ___________________________________________
________________________________________________________________________
Where and when did you attend your weekend? _________________________________
I understand and accept my responsibility in sponsoring this applicant
Sponsor's signature: _______________________________________________________
TO BE FILLED OUT BY APPLICANT'S PASTOR
I recommend this person for this Presbyterian Pilgrimage Weekend:
Pastor's Name: _________________________ Church ___________________________
Phone: _____________________________
Signature: __________________________
Please return the completed application, with deposit to:
Debra Low
1037 Jefferson Ave
Charles Town, WV 25414