Chrysalis CARES - Community Member Information Form

Community Member Information Form

In order to better serve our Chrysalis community, we are updating our information on all of its members. Please fill out this form and click on the "submit" button at the end. You may come back to this form at any time to update your information.

Personal Info

First Name

Last Name

Street Address

City

State

Zip Code

Email Address

Home Phone Number

()-

Cell Phone Number

()-

Birthday

Year (yyyy)

Are you in a Share Group?

When/Where do you meet?

Are you open to new members joining your Share Group?

Original Flight/Walk

Occupation

Serving Experience

Would you like to Serve?

Have you served on a Chrysalis Team before?

If so, the last Team you served on
(name and date)?

Talks Given

Positions Held (check all that apply)

Spiritual Director	Asst. Spiritual Director
Lay Director	Lay Director in Training
Assistant Lay Director	Youth Asst. Lay Director
Logistics	Youth Logistics
Adult Table Leader	Youth Table Leader
Media	Music Director

For Youth

High School Attending/Attended

College Attending/Attended

Grade

Next Flight/Journey

Registration Forms

What is Chrysalis?

Newsletter Archive

2011 Flights/Journeys

January 15-17
Girls Flight #44
Young Women's Journey #15

February 19-21
Boys Flight #39
Young Men's Journey #15

June 18-20
Girls Flight #45
Young Women's Journey #16

July 16-18
Boys Flight #40
Young Men's Journey #16

Click Here for Important Weekend Times


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