Cross Winds Chrysalis

E-Mail Registration Form
for Gophers and Team

All Gopher and Conference Room Team are requested to register for each Flight.
  • Step one:   Fill out the online form below. Fields with * are required.

  • To be completed by Youth or Adult Participant:
    I plan to come to this Chrysalis Flight with a servant heart, dedicating all activities and service to the Lord this weekend. I will follow the leading of the Gopher Team Directors and/or Lay Directors and pray that all my actions will be to the glory of Jesus Christ and not to myself.
    Registration for * Gopher Team Conference Room Team
    First Name *
    Last Name *
    Age 18 or older? * No Yes
    Addresss *
    City *
    State *
    Zip Code *
    Phone with Area Code *
    Cell Phone Number
    My First Chrysalis Flight was Number
    Email Address *

    • Step three: The Registration Fee of $75 for the Flight will be collected at Chrysalis Registration.
    Have a wonderful time at CHRYSALIS!

    For more information please contact

Last updated: July 26, 2018
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