Yes Form-E(Online)

If you would like to serve on a North Indiana Emmaus/Chrysalis Community or have already served on team(s), please fill out this form for inclusion in the Community Servant Database.  Thank You.

Yes-2026
Check One
Name
Name
First Name
Last Name
Phone
Walk or Flight
Have you served before?
Walk or Flight
Attending Gathering/Rushes?
Preference to Work(Pick any or All)
I have experience with Music?

Cost of the 3 day event is $175.