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Register Online – Men’s Cursillo Weekend July 30, 31, August 1 and 2, 2010

Please use this form if you have a sponsor and are ready to register for the men’s weekend in October. If you are interested in the upcoming weekend and have not been in contact with anyone from Cursillo, please use the sign up form and we will contact you!

fields in bold are required

Click the image below to download and print the PDF version.

First Name
Last Name
Email Address
Street Address
City
Province
Postal Code
Home Phone
Business Phone
Date of Birth
Spouse's Name
Home Parish

Sponsor Name
Sponsor Email
Sponsor Telephone
Sponsor Street Address
Sponsor City
Sponsor Province
Sponsor Postal Code
Sponsor Parish
Years I have known the candidate

Register Online – Men’s Cursillo Weekend July 30, 31, August 1 and 2, 2010

Cursillo Candidate

Special Concerns

Emergency Contact

Sponsor Information

Physical Disabilities?
Food allergies?
Special medicinal needs?

Emergency contact name
Emergency home phone
Emergency cell phone