Oregon Trails Walk to Emmaus

First Name: Last Name:

Address:

City: ST: Zip Code:

Home Phone: Cell Phone:

Gender: Male Female

Email Address:

Serve on Walk Number: (Walk 71 is in the Fall of 2011)

Walk Type: Men's Women's

Previous Team Experience

Talents & Abilities

I would like to serve in:

Background Pilgrims Inn

(A sponsor may only work in the Inn if they feel it will not be a distraction to the Pilgrim)

I would like to serve as a member or lead in the following capiacity:

Lay Director Assistant Lay Director Clergy Cha

Speaker Backup Speaker Music Kitchen

Sacristan Decorations Agape Man About Town

Recorder Quartermaster Background Music

Sat Love Team Head Sun Love Team Head

I would like to serve as the team head for:

Special Diet Needs

Special needs, medications or other considerations

I will be sponsoring a pilgrim

Please be sure to subint your $50.00 per person fee by check or by PayPal.

Scholarships are generally available but MUST be requested in advance.

Payment Method: Check PayPal Scholarship

(PayPal allows for payment via your own PayPal account or by credit card)

Scholarship Amount Requested

Please make all checks payable to OTWTE and mail them to:

Treasurer
P.O. Box 30556
Portland, OR 97294

Please note what the check is in payment of.