Pilgrim Application

MEN'S WALK 108: March 6-9, 2025 -- Disciples Crossing

WOMEN'S WALK 109: March 13-16, 2025 -- Disciples Crossing

Please read the important information below concerning the application for the Walk to Emmaus:

All sponsors, please click here for a review of your responsibilities >> Sponsor App Guide

The Pilgrim Applicant is expected to be an ACTIVE, ESTABLISHED CHURCH-GOER, not someone who is church shopping or is new to Christianity.

Three signatures MUST be in place before your request can be processed: Pilgrim Applicant, Sponsor, and Pilgrim’s Pastor.

Applications without signatures will be RETURNED to the sponsor and will DELAY, putting your pilgrim on the roster.

Submit this application only if the Pilgrim intends to be present for the entire weekend of the Walk, Thursday evening thru Sunday late afternoon.

With this application, please enclose a minimum of $75 for a non-refundable deposit towards the full $210 cost of the Walk.
Any balance remaining must be paid no later than check-in at the camp on the first evening of the walk.

The Sponsor should submit the completed application request and fee only after a complete review for correctness and all signatures are obtained.

The completed application and deposit must be received by the Registrar 10 days prior to the start of the Walk.
After this deadline, contact the Registrar directly before mailing.
When a Pilgrim Applicant is placed on a Walk, the Sponsor and the Pilgrim Applicant will both receive information about the Walk.
Sponsors will be notified when the application is received.
Fill out the form below and click submit. Upon clicking submit, you will be prompted to print the form. You only need to print page 2 of the 3 pages.

Upon clicking submit, we will have a record of your submission, but you will need to take the printed form and get the appropriate signatures. You will then have to mail that form to us at P.O. Box 1814 Lindale, TX 75771, or email it to registrar@graceemmaus.com. We can not place a pilgrim on a walk until we have both the signatures, and the submitted application from the website. We use both digital and paper copies to verify and match pilgrims on the day of the walk.

Questions concerning this Pilgrim Application should be sent to the Registrar.
Contact information is available on the “Board” tab on the website's main page.
Click this link to download and print the G.R.A.C.E. Walk to Emmaus Pilgrim Application >> Pilgrim Application.

Security Question:

Show me another question.

Pilgrim Application

*Denotes required field.
To Be Completed by Pilgrim/Applicant: Please ensure that a $75.00 non-refundable deposit toward the $210.00 fee, payable to G.R.A.C.E. Community will be sent to G.R.A.C.E. Registrar, P.O. Box 1814 Lindale, Tx 75771
*Full Name:		*Name for Name Tag:
Are You Clergy?:	Yes No	Gender:	Male Female
*Email:
Home Phone: _{(000)000-0000}*		Cell Phone:	_{(000)000-0000}
Street Address:		City:
State:		Zip Code:
Date of Birth:		Marital Status?:
*Are you on a special diet or medication?	Yes No	If so, please specify diet needs/list medications:
*Do you have a health or physical limitation that may affect your attendance:	Yes No	If so, please specify:
Emergency Contact #1:		Phone:	_{(000)000-0000}
Emergency Contact #2:		Phone:	_{(000)000-0000}
*Has the Walk been explained to you?:	Yes No	If married, was it explained to your spouse:	Yes No
	Pilgrim's Signature:	X
Completion of the Church and Pastor information below confirms that the Pastor supports the Pilgrim's participation in this walk.
*Church Name:		*City:
Denomination:		*Pastor's Name:
	Pastor's Signature:	X
To Be Completed by Sponsor:($75 deposit to G.R.A.C.E. Registrar, P.O. Box 1814 Lindale, Tx 75771)
*Full Name:		*Email:
Home Phone: _{(000)000-0000}*		Cell Phone:	_{(000)000-0000}
Street Address:		City:
State:		Zip Code:
Community/Date of your Walk:		Walk Number:
	Sponsor's Signature:	X

To Be Completed by Pilgrim/Applicant: