Ohio's New Covenant Emmaus!

Gatherings

THIRD Tuesday of each month @7:00 pm @
WCH Grace Methodist Church

301 E Market St

Washington Ct Hs, Ohio 43160

Please send any Emmaus correspondence to:

Ohio's New Covenant Emmaus

PO Box 805

Washington CH, OH 43160

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Online Pilgrim Registration

Pilgrim Candidate Application Form

Thank you for your interest in participating in a Walk to Emmaus weekend with Ohio's New Covenant Emmaus (ONCE).

Form is to be completed by the Pilgrim Candidate. All information is for appropriate placement and will be kept confidential.

Which Walk Would You Like to Attend? *

Women's Walk #4 (Jun 26, 2025)
Women's Walk #5 (Oct 23, 2025)
Men's Walk #4 (Feb 19, 2026)
Women's Walk #6 (Jun 25, 2026)
Future Walk
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Your Sponsor Information

Sponsor's Name *

Co-Sponsor’s Name (If any)

Sponsor's Phone *

Co-Sponsor’s Phone

Pilgrim (Your) Information

First Name *

Last Name *

Phone *

Preferred Name for Emmaus Name badge (nickname):

Fist Name or Nickname for Name Tag

Address *

Street Address

Age *

Gender *

Male

Female

Spouse Name

Has Your Spouse Attended Emmaus?

Yes

Your Occupation

Church Affiliation

What church do you attend? *

Denomination (if any)

What is your pastor's name?

What church activities are you involved in? *

Has the Walk to Emmaus been explained? *

Yes

Briefly state why you want to be involved in a Walk to Emmaus? *

Name Of A Close Friend (Not Your Sponsor)

Close Friend Name *

Friend's Phone *

Friend's Email

Special Needs

Specify any physical limitations or heatlh conditions that may affect your full participation in the Emmaus weekend.

Specify any dietary concerns or special diet that you may be on.

Please specify any medication that you require.

Emergency Contacts

Emergency Primary Contact Name *

Emergency Primary Contact Phone *

Emergency Secondary Contact Name

Emergency Secondary Contact Phone

Ohio's New Covenant Emmaus!

Pilgrim (Your) Information

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