User Registration – FaithWalk South Louisiana

If you are a member of another FaithWalk community or if you have attended another 4th Day event and would like to register as a user on this site, please complete the information below. Once your registration is approved, you will be able to receive updates and have member access to the FaithWalk South Louisiana site.

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Have you ever attended a 4th day weekend? (FaithWalk, ACTS, 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 South Louisiana or if you have ever served on a FaithWalk South Louisiana weekend you should already have an account on this site. 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

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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

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

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

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

Email(Required)

Create your Password

Enter Password Confirm Password

Do you smoke or vape?(Required)

T-Shirt Size(Required)

Marital Status(Required)

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

Profile Picture

Upload your photo to share in the community directory.

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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

Are you an active Pastor with a church home (head/lead/senior, youth, music minister, chaplain)?

Yes, I am an active pastor with a church home.

Form of Payment

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

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.

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

Please mail your full payment or deposit to: FaithWalk South Louisiana, P.O. Box 12517, Lake Charles, LA 70612

If a sponsor is paying your fee, they must pay within 7 days to secure your position on our waiting list.

Confirmation of Pastor Status(Required)

I confirm my statement that I am an active Pastor with a church home.

Credit Card(Required)

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Online Payment 1 Amount

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Online Payment 1 Date

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Online Payment 2 Amount

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Online Payment 2 Date

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..