Port Elizabeth Emmaus Community Port Elizabeth, South Africa
Email: info@pe-emmaus.co.za
Fax: 086 688 0872
Community Lay Director: Debbie Derry  
Community Spiritual Director: Revd Andrea Potgieter  

Apply to be part of a CHRYSALIS Team

If you would like to serve on the team for a Chrysalis Flight / Journey
in our Port Elizabeth Community please complete this form:

Requirement: you must have completed Chrysalis Flight or an Emmaus Walk
   
(To apply for an Emmaus Team, click here)
Please indicate which Flight / Journey you would like to work on:
First name: Surname:
Address:
   Postcode:
Tel (home): Tel (work):
Cell: Email:
I completed Walk/Flight #  in the Community

Do you have any special dietary requirements for medical reasons:
Previous Experience
Please indicate how many times you have served before on an Emmaus or Chrysalis team:
Spiritual Director: Table Leader:
Lay Director: Asst./Youth Table Leader:
Assistant Lay Director: Music Team Leader:
Support Team Leader: Muso:
Support Team Computer: A.V. Operator:
Support Team: Entertainment:
Prayer Team Leader: Clown:
Prayer Team: Photographer:
Preferences
Please rank your preferences for serving in the following areas
First choice:
Second choice:
Third choice:
Fourth choice:
Fifth choice:
The compulsory team formation for both Flights 11 and 12 will be:

1. First Team Formation: DATES NOT SET
Formation will start at 07h45 - 18h00 approx (Saturday)
07h45 - 12h30 approx (Sunday)
at VENUE TO BE CONFIRMED


2. Second Team Formation: DATES NOT SET
Formation will start at 07h45 - 18h00 approx (Saturday)
07h45 - 12h30 approx (Sunday)
at VENUE TO BE CONFIRMED


Venue for Flights:
VENUE TO BE CONFIRMED

The team costs for each Flight are:
Team Fees (inclusive of training) - T.B.A.

Please make payment in full by the second training

Team fees can be deposited into:
Bank: Standard Bank
Account Name: P.E. Emmaus
Account Number: 383 707 145
Branch Code: 29681
Reference: Your Firstname, Surname, Team and Flight No
(eg Jane Smith Team T11 or John Smith T12)
N.B. Your reference is essential so we can correctly allocate your payment

If paying by cheque, make payable to P.E. Emmaus

Please fax the proof of payment to 086 688 0872 or email to registrar@pe-emmaus.co.za
A bank deposit/electronic transfer is the most convenient payment for Emmaus!

For any further information please contact:
Andrea Potgieter (Community Spiritual Director)
Tel: 083 980 3821
Email: csd@pe-emmaus.co.za

Debbie Derry (Community Lay Director)
Tel: 083 354 9793
Email: cld@pe-emmaus.co.za

Any other info?
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