Upcoming Events – FaithWalk Jackson

Event	Location	Beginning Date	Ending Date
FaithWalk Jackson #39 - Men	Lakeshore Camp & Retreat Center	Thursday, April 13, 2023	Sunday, April 16, 2023
FaithWalk Jackson #40 - Women	Lakeshore Camp & Retreat Center	Thursday, April 20, 2023	Sunday, April 23, 2023

Below, you will find the Registration form to attend a FaithWalk Jackson weekend as a first time FaithWalk Believer. If you have previously attended a 4th day weekend such as Discipleship Walk, Tres Dias, Great Banquet, Walk to Emmaus, Chrysalis, Cursillo, etc., you may not attend FaithWalk as a first time believer, but may instead serve as a member of our FaithWalk team. If you have questions, please contact us.

By submitting this application, you are committing to attend a FaithWalk weekend, as designated by the registrar. If you are not certain that this is what you wish to do, please refrain from filling out this form. For more information, please see About FaithWalk or Our Core Beliefs.

Current Rates:
$220 with a $110 deposit. Please note that applications must be received 4 weeks prior to the start date of the desired upcoming walk.

Step 1 of 4

Have you ever attended any 4th day weekend? (FaithWalk, Discipleship Walk, Tres Dias, Great Banquet, Walk to Emmaus, Chrysalis, Cursillo, etc)

NOTE: If you have ever attended any 4th day weekend you are not eligible to attend a FaithWalk Weekend, but may submit this form to register as a user on this site.

Gender(Required)

Your Walk Community(Required)

Your Walk #(Required)

Your Table Name

Please tell us about your "Other" community and walk(Required)

Before granting access to this site, we want to verify that you have in fact attended a 4th day event. Please tell us about your walk in this box. You may be contacted for additional information.

If you attended a FaithWalk JACKSON weekend or if you have ever served on a FaithWalk JACKSON weekend then you should already have an account on this site. You will not be permitted to submit this form. You simply need to reset your password to gain access to the site. If your email address has changed and you need to update it, please send an email to Website Help using the Contact Us page.

Home Community

Please select the community in which you will be most active.

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For which type of weekend are you applying?(Required)

FaithWalk

CrossRoads (Youth/Co-Ed)

Desired Upcoming Walk(Required)

I understand that my desired walk may not have capacity and that the Registrar will contact me to confirm which Walk I will be attending.

Name(Required)

Your full name. A suffix is like Junior or Senior, not Mister or Misses. If you don't have a suffix, please leave the field empty.

First Name Middle (Initial Only) Last Name Suffix (Like Jr or Sr)

Name for Badge

Your First and Last name as you would like it to appear on your name badge.

Date of Birth(Required)

Age

Address(Required)

Street Address City State ZIP Code

Phone-Cell(Required)

Phone-Home

Phone-Work

Text Messaging

Yes, I would like to receive occasional text messages from FaithWalk

No, I do not want to receive occasional text messages from FaithWalk

Your mobile provider’s standard rates for sending and receiving text messages may apply.

Email(Required)

Create your Password

Enter Password Confirm Password

T-Shirt Size(Required)

Do you smoke or vape?(Required)

Marital Status(Required)

Ethnicity

Please indicate your ethnicity from this list of options provided by the US National Institute of Health.

Spouse's Name

First Name Last Name Suffix (Like Jr or Sr)

Has your spouse attended FaithWalk or another 4th Day weekend?

Emergency Contact(Required)

First Name Last Name

Emergency Contact Phone(Required)

Emergency Contact's Relationship to You(Required)

Who encouraged you to attend FaithWalk?(Required)

First Name Last Name

Encourager's Phone(Required)

Church Currently Attending (Name/City)(Required)

Are you pregnant?(Required)

Baby's Due Date(Required)

Specific Medical Concerns

Choose all that apply.

General Health Concerns

Please explain any general health concerns that would prevent you from walking, sitting, etc.

Allergy / Dietary Concerns

Please explain any allergies (food, insect, etc) or special dietary requirements you may have.

Special Skills: medical training, musical abilities, etc.

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Cross Carried By

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Deposit Receipt Date

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Manual Payment 1 Amount

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Manual Payment 1 Date

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Manual Payment 1 Payer

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Manual Payment 1 Method

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Manual Payment 1 Check Number/Note

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Manual Payment 2 Amount

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Manual Payment 2 Date

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Manual Payment 2 Payer

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Manual Payment 2 Method

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Manual Payment 2 Check Number/Note

Form of Payment(Required)

Please choose how you would like to pay for your weekend.

Payment Amount

Convenience Fee

A non-refundable convenience fee is added to cover the bank's fee for processing credit cards.

Price: $0.00

Total Payment Amount

Credit Card(Required)

Card Details

Cardholder Name

Registrations are on a first come, first served basis and this registration does not guarantee you a place on the upcoming Walk.
You will receive a confirmation notice from the Registrar approximately eight weeks prior to the Walk date.

Registrations are on a first come, first served basis and this registration does not guarantee you a place on the upcoming Walk. If you choose not to pay online, your deposit must be mailed in after completion of this online registration form. We cannot reserve your space until your deposit is paid.

Please make your check payable to: FaithWalk Jackson (Be sure to reference the name of the person attending the weekend on your check.)

Please mail your full payment or deposit to: FaithWalk Jackson Registrar, PO Box 10943, Jackson, TN 38308

You will receive a confirmation notice from the Registrar approximately eight weeks prior to the Walk date.

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By submitting this application online, you hereby release and agree to hold harmless CrossRoads, FaithWalk, it's Secretariat and the weekend servants from any and all liability regarding any claims for personal injuries and damage to or loss of personal property that I may incur during any activity sponsored by CrossRoads or FaithWalk. If under 18, a parent/guardian signature will be required at the time of checkin..

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Deceased?

Yes, member is deceased.

No, member is alive.

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Date of Death

If known.

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Death Information

Any comments about this member's passing can be placed here.