December 08, 2019
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Ultreyas
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Application To Attend A Cursillo Weekend
Please fill out all information if possible. Items with a "
"are required.
Prefix
Mr.
Mrs.
Ms.
Miss
Dr.
Rev.
Please make a selection.
First Name
Please provide your first name.
Last Name
Please provide your last name.
Preferred Name
Mailing Address
Please provide your mailing address.
City
Please provide your city
Province
Alberta
British Columbia
Saskatchewan
Manitoba
Ontario
Prince Edward Island
New Brunswick
Northwest Territories
Newfoundland & Labrador
Nova Scotia
Nunavut
Quebec
Yukon
Please provide your province.
Postal Code
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Email Address
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Primary Phone
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Confirm Email Address
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Alternate Phone
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Please indicate your age
18 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 +
Please make a selection
Are you currently married?
Yes
No
Please make a selection
Is he/she attending the upcoming set of weekends?
Yes
No
Please make a selection
What is your spouse's name?
Please provide your spouse's name
Has he/she attended a previous Cursillo weekend?
Yes
No
Please make a selection
Church or Parish Name
Please provide church or parish name
Church or Parish City
Please provide the city your church or parish is located in
Pastor or Priest's Name
Please provide your pastor or priest's name
Are you baptized?
Yes
No
Invalid Input
Sponsor's Name
Please provide your sponsor's name
Sponsor's phone number
Invalid Input
Sponsor's Email
Invalid Input
Has your sponsor explained the nature and purpose of the weekend?
Yes
No
Please make a selection
Do you have any medical conditions or disabilities?
Yes
No
Please make a selection
Please explain
Please provide the information requested
Do you have any food allergies?
Yes
No
Please make a selection
Please explain
Please provide the requested information
I agree to have my name included on Cursillo weekend lists and mailouts
Yes
No
Please make a selection
Please provide any additional comments in the space allocated below
Invalid Input
Please type your name to confirm this application
Please confirm by typing your name
Today's Date
Please enter today's date.
Please confirm you are human
Invalid Input
Occupancy Type
Double Occupancy (share a room) - 215.00 CAD
Single Occupancy (room to yourself) - 245.00 CAD
Please make a selection
Method Of Payment
Pay By Cheque
Online payment with PayPal coming soon!
Submit Application
Home
Welcome
Message From Our Bishop
What Is Cursillo?
Description & FAQ
History
Community
Ultreyas
Group Reunions
News & Notices
Image Gallery
Upcoming Events
Weekends
Men's Weekend
Women's Weekend
Men's Weekend Archive
Women's Weekend Archive
Apply Now
Weekend Application
Sponsorship Form
Resources
Secretariat Members 2020
Links Of Interest
Forum
Private Messaging
Files
Men's List Archive
Women's List Archive
AGM Files
Lay Director Files
Secretariat