Sponsor's Form for Chrysalis Application
(this form to be completed by Sponsor)

Sponsor Information (PLEASE PRINT)
Sponsor's Name                                                 
I attended (circle one) Emmaus / Cursillo / Chrysalis     Year                
What community and weekend number?______________________________

Youth Information  (Please Print)
Caterpillar s Name                                         ____________
Address                                   City                                  State _____ Zip         
Phone (day)                                  Phone (evening)                                 
Church / Denomination                                         /                         Attend regularly?                     

Sponsor's Responsibilities

• Have you fully explained Chrysalis to your applicant?
• Have you fully explained Chrysalis to his/her parents or guardian?
• Will you assist your applicant in establishing or attending a Reunion Group?
• Will you pray and sacrifice for your applicant?
• Will you bring your applicant to the Flight Send Off?
• Will you attend the Sponsor's Hour, Candlelight and Closing?
• Will you bring your applicant to the follow up meetings when held?
• Will you bring your applicant to the Chrysalis Hoot/Emmaus Gathering?
• If your answer is no to any questions, will you arrange for someone else to?

Special needs of applicant
Does your applicant have the physical and mental health needed to attend? Is your applicant under any temporary emotional strain? Are there any additional circumstances the team should be aware of?  Explain details or assistance:                                                                                                                                                                                                                        __________________________________________

Sponsor Reminder
Sponsor; please remember that the Chrysalis Flight is an intense program of Christian study and spiritual growth.  It is NOT a weekend retreat or cure-all.  It is good if the applicant is active in church, desires an opportunity to grow in Christ and enhance their participation in Church.

Sponsor's signature                                               Date                         

Attach this form to the Youth Application Form along with the $50 Fee and Send to:
Erika Huskamp, Rt 1 Box 785, Greenfield, MO 65661, (417)637-5524 or (417)880-1452  ehuskamp@msn.com