TEAM SERVICE COMMITMENT

The Great River Emmaus Gathering Community Team Service Committee needs your help in determining those who desire to serve on a team.  Please complete this form and return to:

Dan & Norma Clair

Team Selection Committee Chairpersons

1451 N. 2800^th Ave.

Loraine, IL  62349

I made my     ¡  Walk # ________     ¡  Cursillo # __________ in (City):______________

I have already served on a:  ¡     Walk       ¡    Chrysalis      ¡      Cursillo

I served as an:  ¡ Assistant table Leader     ¡  Service Team     ¡  Musician

 ¡ Other __________________________________

¡  Speaker (Talk Names) _________________________________________

                                                  _________________________________________

                                                  _________________________________________

Where? _______________________________________________

Name ________________________________________ E-mail _______________________

Address __________________________________________

City _______________________ State ________ Zip ___________

Phone (_______) _____________________  Date _________________________

I desire to serve on a team in:   ¡  Quincy      ¡  Springfield

¡  I have included additional comments/information on the back of this form.

¡  Please remove me from the mailing list permanently.

                                                (Duplicate this form as needed)

                                                    Christ is Counting On You