Upcoming Events – FaithWalk Jackson

Event	Location	Beginning Date	Ending Date
FaithWalk Jackson #31 - Men	Lakeshore Camp & Retreat Center	Thursday, September 9, 2021	Sunday, September 12, 2021
FaithWalk Jackson #33 - Men	The Grove at Red Oak Lake	Thursday, September 23, 2021	Sunday, September 26, 2021
FaithWalk Jackson #34 - Women	The Grove at Red Oak Lake	Thursday, September 30, 2021	Sunday, October 3, 2021

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.

Current Rates:
$185.00 with a $95.00 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 a 4th day weekend? (FaithWalk, Discipleship Walk, Tres Dias, Great Banquet, Walk to Emmaus, Chrysalis, Cursillo, etc)
NOTE: If you have ever attended a 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*

Desired Upcoming Walk*
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.
Believer Walk
Walk #
If you attended a FaithWalk JACKSON weekend or if you have ever served on a FaithWalk JACKSON weekend you already have a profile in the system and 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.
Name*
First Last Suffix (Jr, Sr, etc)
As you would like it to appear on your name tag
Date of Birth*
MM
DD
YYYY
Address*
Street Address City State ZIP Code
Phone-Cell*
Phone-Home
Phone-Work
Email*
Create your Password*
Enter Password Confirm Password

Do you smoke or vape?*
T-Shirt Size*
Marital Status*
Has your spouse attended FaithWalk or another 4th Day weekend?
Spouse's Name
First Last Suffix (Jr, Sr, etc)
Emergency Contact*
First Last
Emergency Contact Phone*
Church Attending (Name/City)
Who encouraged you to attend FaithWalk?*
First Last (Jr, Sr, etc)
Encourager's Phone
Are you pregnant?*
Baby's due date
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.
Home Community
Cross Carried By
Table

Deposit Receipt Date
Manual Payment 1 Amount
Manual Payment 1 Date
Manual Payment 1 Payer
Manual Payment 1 Method
Manual Payment 1 Check Number/Note
Manual Payment 2 Amount
Manual Payment 2 Date
Manual Payment 2 Payer
Manual Payment 2 Method
Manual Payment 2 Check Number/Note
Form of Payment*
Please choose how you would like to pay for your weekend.
Payment Amount
Convenience Fee
Price: $0.00
A convenience fee will be added to cover the credit card processing fees.
Credit Card*

Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total Payment Amount
$0.00
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 FaithWalk Jackson 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 312, Jackson, TN 38302

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