SEI Emmaus Pilgrim Application
Please note that any field with an * must be completed.
  • Mens
    Womens
  • Please use First and Last Name as you would like it to appear on your Name Tag
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    Please list most accurate number to reach you
  • - -
  • This is how you will receive any important information from SEI Emmaus Community
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  • If Married, please complete the next section.
    If not, please skip and continue.

  • Have they attended an Emmaus Walk?
    If yes, Where & When?
    If no, have they applied?
    If no, Why?
  • To help you have a safe and enjoyable Walk to Emmaus, our team will need to know of any special
    medical or dietary needs you may have.

    This necessary information will help us accommodate you at the Walk.
  • Please list name and time to be taken.
  • Are you able to navigate stairs?
    Are you able to reach & sleep on a top bunk?
    Please Note... Bottom Bunks are Limited, causing you to be placed on a waiting list
  • Day
    Evening
    Other
  • $50 non-refundable deposit due with application?
    $90 due at Registration time?
    That the Walk begins Thursday evening and ends Sunday evening?
    The importance of not using Cell Phones, Cameras, or any Social Media while on the Walk?
  • By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a pilgrim, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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