Application to Serve on a Chrysalis Team

Use this on-line form to submit an application to serve on a conference room team. There is no need to submit an on-line form and a paper copy. One or the other is fine. If you would like to serve in a "behind the scenes" capacity like prayer vigil, serving a meal, etc., then click here to contact the committee chair person for your area of interest.

Name:

E-mail:

Home Address:

City:   State:  Zip Code: Home Phone:

Home Church

Name of School


Original Community and Flight / Walk # (example: CCCC # 10)

Name of Reunion Group


Last past areas of service


Have you ever served on a Chrysalis Team?
If so, when

I have the following interests:

MUSIC TEAM
Sing
Guitar
Keyboard
Trumpet
Drums
Flute
Other
ENTERTAINMENT
Drama
Magic
Dance
Clowning
Comedy
Puppets
Other
OTHER AREAS
Kitchen Coordinator
Table Leader
Speaker
ALD
Logistics
Prayer Chapel
Big House
Other

NOTE: Submitting this application does not guarantee placement on a team. Team members are responsible for paying the same fee as Caterpillars.