Registration Forms







You, as the Sponsor, should review the application in its entirety.  Make sure that all the information is filled out accurately and completely and required signatures have been obtained (Any application that is not completed fully will be returned to the Sponsor).  Submit the application with the required registration fee to the registrar.  Your applicant may be placed on a waiting list since there are a limited number of spaces available for each weekend.

The Weekend fee is currently $90.00 per candidate.  The balance is due, in full, prior to the Weekend.
The registration deposit for each applicant is $40.00.  This is a non-refundable registration deposit for an application received.  We cannot accept an application without this deposit.

The sponsor is responsible for forwarding to the Chrysalis Registrar the following:

  1. $40.00 Weekend Deposit (non-refundable) and/or Total Cost of Weekend $90.00,
  2. Applicant’s Form,
  3. Parent’s Emergency Form, and
  4. Sponsor’s Form

Mail to:

Florida Crown Chrysalis, Registrar
% Judy Cromartie
13850 Spanish Point Drive
Jacksonville, FL 32225



Volunteer Form


Download the Volunteer Form

Please print and complete the Volunteer form and mail the form to the address below or bring it to the next gathering.   Your assistance is needed in various areas.  You can serve in areas from making agape, helping with physical arrangements or helping on a Florida Crown Chrysalis Flight.  Please take the time to fill out the form so you can get connected!

Please send the Volunteer form to:

Florida Crown Chrysalis
3925 Main St.
Middleburg, FL 32068
Fax: 904-282-5589


Team Info Background Check Form


 Download the Team Background Info Form

All members of the weekend team are required to complete the Team Information Form and turn them into the Weekend Lay Director. Members who are 18 years of age and older will also be required to complete the Criminal Background Check Authorization Form.





Share on FacebookTweet about this on TwitterShare on Google+Email this to someonePrint this page