TRWE Pilgrim Sponsorship Registration

Candidate Information Men’s Walk Women’s Walk Title: Mr. Mrs. Ms. Miss Rev. Name: Date of Birth: Age: Marital Status: Single Married Widowed Divorced Gender: Male Female Number of Children: Address: City: State: Zip: Spouse's Name: Name you wish to be called: Primary Phone: Secondary Phone: Email Address: Emergency Contact Name: Phone: Relationship: Medically Prescribed Diet? Diabetic? Vegetarian? Allergies (food, drug, environmental): Use CPAP/BiPAP? Do you smoke? On Medication? Physical Challenges? Sponsor Discussed: Walk Site Transportation Clothing Bedding Gatherings Reunion Groups Why do you wish to attend? Organizations involved in: Church: Denomination:

Cost: $200 includes lodging, meals, supplies. $25 non-refundable deposit required. Contact your sponsor for financial aid if needed.

Sponsor Information Candidate’s Name: Sponsor’s Name: Primary Phone: Address: City: State: Zip: Email: Cell Phone: Church: Denomination: Location of Weekend: Walk #: Year: Table: In Reunion Group? Attend Gatherings? Have you: Talked with Candidate's Spouse Explained Transportation, Lodging, etc. Explained Reunion Groups Candidate Willing to Attend Reunions Will Help Candidate Attend Prayed for Candidate Explained Mini-Reunion Why is this person a good candidate? How long have you known candidate? Provide transportation? Attend sponsor activities? Minimal contact compliance? Signature of Candidate’s Pastor: Pastor’s Name: Pastor’s Phone: Pastor’s Address:

Mail to: Colleen Clark, Registrar, 8831 Breezewood Dr., Pittsburgh, PA 15237

Questions: Call 412-298-6920 or Email registrar@TRWE.org