Application – PRV A Closer Walk

Step 1 of 7

Registration Total

Select your Walk Weekend(Required)

Women’s Walk #19 September 17 – 20

Men’s Walk #20 October 15 – 18

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Women's Weekend Dates

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Women's Start Date

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Women's Candlelight Date

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Women's End Date

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Men's Weekend Dates

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Men's Start Date

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Men's Candlelight Date

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Men's End Date

Pilgrim Name(Required)

First Last

What name does the pilgrim want on their name tag?

Leave blank to use provided first and last name

Pilgrim's Date of Birth(Required)

Pilgrim's Phone(Required)

Pilgrim's Address(Required)

Street Address Address Line 2 City State ZIP Code

Pilgrim's Email(Required)

Enter Email Confirm Email

Church where pilgrim attends worship regularly(Required)

Enter “None” if the pilgrim does not regularly attend a church.

Has the purpose of the Walk been explained to the pilgrim?(Required)

Yes

Have the follow-up activities been explained to the pilgrim?(Required)

Yes

Sponsor's Name(Required)

First Last

Sponsor's Address(Required)

Street Address Address Line 2 City State ZIP Code

Sponsor's Phone(Required)

Sponsor's Email(Required)

Enter Email Confirm Email

Is the sponsor currently in a reunion group?(Required)

Yes

Is the sponsor active in community activities?(Required)

Yes

Is the sponsor familiar with the sponsor expectations?(Required)

Yes

Has the sponsor explained the A Closer Walk weekend and Fourth Day activities?(Required)

Yes

PRV A Closer Walk Application