Walk Team *
Name *
Name
Primary Phone *
Primary Phone
Secondary Phone
Secondary Phone
Address *
Address
Are You In a Reunion Group *
Lay Experience
Lay Talks Given
I have read and agree to the Commitment Letter (Below) *
Send a non-refundable deposit of $20.00 ($15.00 for part-time). Total fee for the Weekend is $80.00. Payable to: SD Emmaus Community. Mail to: P.O. Box 502385 San Diego, CA 92150-2385
Date
Date