Team Application Registration

Please note – if you’re uncomfortable filling in the information below for the West Virginia Emmaus Registrars – please email them directly at registration@westvirginiaemmaus.org with your contact information and they will reach back to you. The information below helps us process your application faster and is sent only to the Community Registrars. NOTE – An automated response email from “siteground” will be sent to you. Please check your spam or junk email folders.

Team Registration Application

Name *

Name

Preferred Name (Name Tags & Print Outs)

Last

Contact Phone # *

Email *

Original Emmaus Walk # *

Home Church *

Church City, State (e.g. Winchester, VA) *

Musician *

Yes

No

Instrument (If Musician)

Clergy *

Yes

No

Address *

City *

State (e.g. WV) *

Zipcode *

Update Contact Info?

Yes

No

Weekend(s) to Serve *

Please update my information only

WV #163 – 2026 Fall Men (17-20 Sept)

WV #164 – 2026 Fall Women (15-18 Oct)

WV #165 – 2027 Spring Men (15-18 Apr)

WV # 166 – 2027 Spring Women (13-16 May)

Comments for Registrars (e.g. Allergies/Dietary Concerns)

Note:

If you are human, leave this field blank.

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