Personal Profile Update

This form should be used by current members of the Memphis Emmaus Community to help us keep in touch with you. If you are new to our area and have completed the Walk To Emmaus with another Community, we welcome you and invite you to complete this form and become active with the Memphis Emmaus Community.

If you have not yet participated in the Walk To Emmaus, please do not fill out this form. Instead, click here for more information.

Please provide the following contact information:

If you are only updating a portion of your profile, PLEASE remember to include your first and last name to insure a correct match.

     Household Number     (this four to six digit number can be found printed directly above your name and address on mail received from the Memphis Emmaus Community)

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Please tell us your walk location and number:

           Walk Location

Walk Number

Please tell us the Church you currently attend in the space provided below.


Copyright © 2003 [Memphis Emmaus Community]. All rights reserved.
Revised: 08/01/08