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All information shared is confidential and will only be used to evaluate your application for the next Cursillo. For health reasons, it is preferable that women in an advanced state of pregnancy do not attend the Cursillo. Candidates under 18 years of age are not accepted.

Download HERE or fill out the application for the Cursillo below.

Candidate Information

First Name *

Last Name *

Mobile Number *

Email *

Sex *

Select One

Male
Female
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I agree to terms & conditions provided by Cursillos in Christianity. By submitting you agree to receive SMS or e-mails for the provided channel. Rates may be applied.

Street Address *

City *

State *

Postal code *

Do you currently have a sponsor for Cursillo? *

Yes

Name of Parish and City *

Sacraments Received *

Baptism

First Communion

Confirmation

Check all that apply.

Date of Birth

Age *

Education Background *

Select One

Elementary
High School
College
Post-Graduate
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Occupation / Business *

Marital Status *

Select One

Single
Married
Divorced
Widowed
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Married by: *

Catholic Church

Civil

Spouse Full Name *

Spouse Religion *

Number of Children *

Has your spouse attended a Cursillo Weekend ? *

Select One

Yes
No
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When did your Spouse attend a Cursillo?

Are they scheduled to attend a Cursillo Weekend? *

Select One

Yes
No
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Do you have any condition that would required attention such as diet, medication or physical handicap? *

Yes

If yes, please explain.

Have you had a nervous breakdown? *

Yes

If yes, when?

In case of emergency, please notify: *

Emergency Mobile Number *

Has your sponsor answered all your questions and been available in your preparation for Cursillos? *

Yes

Please state why you wish to attend Cursillo? *

Sponsor Full Name *

Sponsor Mobile Number *

Sponsor Email *

Sponsor Parish *

Social Media

Phone

(855) 755-5232

Email

[email protected]

Application

Social Media

Phone

(855) 755-5232

Email

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