Team Application for Fall Walks at Camp Gilmont

MEN'S WALK: October 3 - 6, 2019

WOMEN'S WALK: October 10 - 13, 2019

*Denotes required field.

Personal Information  *

First Name: 
*Last Name:
Middle: *Email:
*Phone: Fax:
Street Address: City:
State: Zip Code:
Spouse's Name:

Your Church Information

*Church            Name:
Denomination: *Pastor's Name:

Walk You Attended & Reunion Group Information

Community: Walk Number:
When you took your Walk: Reunion Group Name:
*Do you meet regularly in a reunion?:

*If so, where & what time?:

List the last few Walks You've Worked on.....

CommunityWalk No.Camp/Retreat CenterJob/Talk

This application is for which Walk:


Service Preference:

Do you know the Team pays the same as the Pilgrims, $165, and it must be paid by the last training with check or money order?
Security Question:

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