╨╧рб▒с>■  ■                                                                                                                                                                                                                                                                                                                                                                                                                                                   ¤   ■   ■      !"#■   ■                                                                                                                                                                                                                                                                                                                                                                               Root Entry        ▓Zд Ю╤д└O╣2║ВОЯЎ╟$└CONTENTS     BCompObj            VSPELLING            (■   ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       _________________ Are you praying for your candidate? Yes / No Are you able to get the candidate to the weekend? Yes / No Candidates should arrive between 8-8:30AM Friday Are you able to attend Sponsor Hour? Yes / No Sponsor Hour begins at 8:30AM Friday Are you able to attend candlelight? Yes / No Apostolic Hour/Candlelight is 8:30pm-10:15pm Saturday Are you able to attend closing? Yes / No Closing begins at 5:00PM Sunday. Do not arrive before 4:45pm. Registration Fee is $25.00. The actual cost of a Chrysalis weekend for each candidate is $150. If you can cover the extra cost, it would be a great help to the community. Please make checks payable to SonRise Chrysalis. A postcard will be mailed to you confirming registration & more details will be sent closer to the weekend. If you have any additional questions please contact our Community Registrar, P.J. Learn, at (309)-827-8878. Mail this form, your candidate s registration & registration fee together to: SonRise Chrysalis P.O. Box 1133 Bloomington, IL 61702-1133 SonRise Chrysalis Registration Form SonRise Chrysalis is open to high school sophomores through 18 year olds. Form must be fully completed to be processed. Name: ________________________________________ Male/Female E-mail:_________________________ Name wished for nametag (if different from above): __________________________________________________ Address: _________________________________ City: ____________________ State: ____ Zip: __________ Home Phone: ( ) _______ - _________ Cell or Work Phone (optional): ( ) _______ - _CHNKWKS B°    TEXTTEXT°(FDPPFDPP,FDPPFDPP.FDPCFDPC0FDPCFDPC2FDPCFDPC4STSHSTSH6┤STSHSTSH┤6VSYIDSYID 8SGP SGP 8INK INK "8BTEPPLC &8 BTECPLC F8(FONTFONTn8<STRSPLC к8:PRNTWNPRф8╧FRAMFRAM│?ИTITLTITL;@*DOP DOP e@d arrive betCaterpillar s Name: _______________________________________ SonRise Chrysalis Sponsor Form Chrysalis Flights are open to high school sophomores through 18 year olds. Form must be fully completed to be processed. Please note: As a sponsor, you know best whether or not the candidate is to attend the weekend. Please keep in mind that Chrysalis is for the enrichment of the candidate, not their conversion. Sponsor s Name: _______________________________________ E-mail: ____________________________ Home Phone: ( ) _______ - _________ Cell or Work Phone: ( ) _______ - _________ Address: _______________________________ City: ____________________ State: _____ Zip: ___________ Chrysalis/Emmaus weekend you attended: __________________________ Where: ______________________ Home Church: ____________________________________________________ City: ____________________ An adult/Experienced Co-Sponsor is highly recommended for first time sponsors. Co-Sponsor s Name: _______________________________________ E-mail: _________________________ Home Phone: ( ) _______ - _________ Cell or Work Phone: ( ) _______ - _________ Address: _______________________________ City: ____________________ State: _____ Zip: ___________ Chrysalis/Emmaus weekend attended: ______________________________ Where: ______________________ Home Church: ____________________________________________________ City: ____________________ Please answer the following questions to the best of your ability. What is your relationship to the candidate? _______________________________________________________ Why are you recommending them to attend Chrysalis? _____________________________________________ Does your candidate have any special needs our team should be aware of? _____________________ Birth Date: _____/_____/_______ Age: ______ School: ______________________________ Grade: ______ Parent s Name: _____________________________________ Phone: ( ) _______ - _________ Parent s Address (if different): _________________________ City: ________________ State: ___ Zip:________ Home Church: _____________________________________ Pastor: _________________________________ Church Address: ___________________________ City: ____________________ State: ____ Zip: __________ Special Diet (Vegetarian, No Red Meat, No Fried Foods, etc.): _______________________________________ Any health or medical conditions we should be aware of: ___________________________________________ Taking Medication? Yes / No If yes, name(s): ___________________________________________________ ______________________________________ When to be taken: ___________________________________ Has Chrysalis been explained to you? Yes / No Why would you like to attend a Chrysalis weekend? _______________________________________________ _________________________________________________________________________________________ Chrysalis weekends are held at East Bay Camp on Lake Bloomington in Hudson, IL. You will be sent a postcard confirming the receipt of you registration form. Closer to the Chrysalis weekend more information, including emergency numbers, will be mailed to both the participant and parents. If you have any additional questions, please contact your sponsor or contact the Community Registrar, P.J. Learn, at (309)-827-8878. 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