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Emmanuel Chrysalis Caterpillar Application and Reservation Request 2026

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The document is an application and reservation request for the Emmanuel Chrysalis program, aimed at young individuals seeking spiritual growth through a weekend retreat. It includes sections for applicant information, preparatory questions, pastoral details, medical and parental consent, sponsor information, and special needs considerations. The document emphasizes the importance of understanding the program's nature and responsibilities of sponsors while ensuring compliance with local laws regarding tobacco use.

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Click ‘Get Form’ to open it in our editor.
Begin by filling out the Applicant Information section. Enter your first name, last name, and the name you want on your name tag. Don’t forget to include your age, address, city, phone number, email address, and current school details.
In the T-Shirt Size field, select your preferred size by checking the appropriate box. Provide your birthdate and state of residence.
Complete the Preparatory Questions section by confirming if the Chrysalis Weekend has been explained to you and your parents/guardians. Share briefly why you wish to participate in Chrysalis.
Fill out the Pastoral Information with details about your current church and pastor. Ensure that you have their signature for verification.
In the Medical and Parental Information section, list any allergies or medical conditions. Make sure to provide emergency contact information and attach a copy of your child’s insurance card.
Finally, complete the Sponsor Information section with details about your sponsor and their responsibilities before submitting the application.

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