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Central Carolinas Chrysalis Community

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 TeamIf 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
Other

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