United Emmaus Community, Inc.

Volunteer Sign-up Sheet

Name:____________________________________________________ Date:_________

Address:________________________________________________________________

City:_____________________________ State:__________ Zip:_____________

Email address:____________________________________________________________

(Please print clearly – only use upper case letters if required)

Phone:___________________________ Original Emmaus Walk/Flight/Journey#:______

Yes! - I would like to participate in future Emmaus functions:

_____Agape _____Historian

_____Book Table _____Kitchen-Food

_____Candlelight _____Kitchen-Tables

_____Communion _____Set Up/Take Down

_____Registrar _____Music

_____Entertainment _____Newsletter/Communication

_____Serve on Team

_____Prayer Vigil _____Reunion Groups

_____Worship _____Sponsorship

_____Literature/Supplies _____Transportation

Additional ways to serve:

_____Child care _____Chrysalis

_____Kitchen coordinator _____Chrysalis Steering Comm.

_____Database _____Prayer Chain

_____Do maintenance/repairs _____Gathering

_____Kairos _____Assist with clerical work

I checked music and/or entertainment – here is more detail:

Music: ___Guitar ___Piano ___Keyboard ___Songleader ___________Other

Entertainment: _____Dance _____Stand-up Comedy ______________Other

Newsletter

(Check only one of the three choices below)

(1) _____I will check the community web site (www.unitedemmaus.org ) for Newsletter updates.
(2) _____Please subscribe me to the list server for e-mail notification when a new Newsletter is available on the community web site. (E-mail address must be specified above)
(3) _____I wish to receive the newsletter by US Mail. If             _____Use the address at the top of this form
so, check one of the two items on the right.                                 _____Use alternate mailing address on back

Revision Date: 8/26/2006