Upcoming Events – FaithWalk Mid-South

Event	Location	Beginning Date	Ending Date
FaithWalk Mid-South #87 - Men	The Grove at Red Oak Lake	Thursday, September 8, 2022	Sunday, September 11, 2022
FaithWalk Mid-South #88 - Women	The Grove at Red Oak Lake	Thursday, September 15, 2022	Sunday, September 18, 2022
CrossRoads Mid-South #15	The Grove at Red Oak Lake	Friday, January 13, 2023	Monday, January 16, 2023

Below, you will find the Registration form to attend as a first time Believer on a FaithWalk or CrossRoads Mid-South Weekend . If you have attended a previous 4th day weekend such as Discipleship Walk, Tres Dias, Great Banquet, Walk to Emmaus, Chrysalis, Cursillo, etc., you are not allowed to attend as a first time Believer, but may instead serve as a member of our Weekend team. If you have questions, please contact us.

By submitting this application, you are committing to attend a FaithWalk or CrossRoads 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 About CrossRoads.

Current Rates:
FaithWalk: $200.00 with an $100.00 deposit.
CrossRoads: $155.00 with an $80.00 deposit.

Step 1 of 5

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(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.

STOP! If you attended a FaithWalk Mid-South or CrossRoads Mid-South weekend or if you have ever served on a FaithWalk Mid-South or CrossRoads Mid-South weekend you should already have a profile in the system. 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 a message to Website Help using the Contact Us page.

Home Community

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)

First Middle Initial Last Suffix (Jr, Sr, etc)

Date of Birth(Required)

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)

Spouse's Name

First Last Suffix (Jr, Sr, etc)

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

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Emergency Contact's Relationship to You(Required)

Who encouraged you to attend?(Required)

First Last

Encourager's Phone(Required)

Encourager's Relationship to You(Required)

Friend, Parent, Pastor, etc

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.

Hidden

Special Skills: medical training, musical abilities, etc.

Hidden

Cross Carried By

Church Currently Attending (Name/City)(Required)

Church Denomination(Required)

How long have you attended this church?(Required)

Pastor's Name(Required)

Prefix First Last

Church Phone(Required)

Tell us how and when you came to know Jesus Christ personally:

What are your regular habits of prayer and quiet time?

How do you feel about learning to disciple your peers?

We need a reference letter from a Church leader or other adult, such as a small group leader or Sunday school teacher. Please provide us with the name, phone number and email address of your reference. A CrossRoads Reference Request form will be emailed to this person automatically.

Reference(Required)

Title First Last Suffix (Jr, Sr, etc)

Reference Phone(Required)

Reference Email(Required)

Hidden

Deposit Receipt Date

Hidden

Manual Payment 1 Amount

Hidden

Manual Payment 1 Date

Hidden

Manual Payment 1 Payer

Hidden

Manual Payment 1 Method

Hidden

Manual Payment 1 Check Number/Note

Hidden

Manual Payment 2 Amount

Hidden

Manual Payment 2 Date

Hidden

Manual Payment 2 Payer

Hidden

Manual Payment 2 Method

Hidden

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

Price: $0.00

A convenience fee will be added to cover the credit card processing fees.

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 (Be sure to reference the name of the person attending the weekend on your check.)

Please mail your full payment or deposit to: FaithWalk Registrar, PO Box 51, Ellendale, TN 38029

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: CrossRoads (Be sure to reference the name of the person attending the weekend on your check.)

Please mail your full payment or deposit to: CrossRoads Registrar, PO Box 472, Ellendale, TN 38029

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

Profile Picture

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..