Acceptance | Heart of Georgia Walk to Emmaus

Accept my Registration to my Upcoming Walk

Use this form only if you have been contacted by the Emmaus Registrar, Teresa Crumpton
via email at TeresaCrumpton@icloud.com
or by phone at 478-396-6642

First and Last Name *

Email Address *

I am accepting my walk? *

YES. I will be able to attend
NO. I will NOT be able to attend

Walk # *

I have paid *

My deposit only
My full amount
I have not submitted payment

Message to Teresa