Cursillo Pilgrim Application

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Use this form to submit an application for a pilgrim to attend an upcoming Cursillo. A paper application will not be necessary. Please talk to the parish clergy about the pilgrim before submitting this form. The parish clergy will receive an email requesting their approval. A copy of clergy email will be send to the Pilgrim, the Pilgrim's sponsor and the Cursillo Registrar

Pilgrim Information

Last name *

First name *

Name tag name *

Enter your name as you would like it to appear on a name tag - First and last name

Email address

Mailing address *

Street or P.O. Box

City / State / Zip *

Phone number *

Birth date *

Including year of birth

YYYY

Preferred Cursillo to attend *

Mar 10 - 13, 2022

Sep 15 - 18, 2022

Parish *

I have been vaccinated with an approved Covid 19 vaccine. *

Yes

Sponsor Information

Sponsor name *

Sponsor mailing address *

Sponsor City / State / Zip *

Sponsor email

Sponsor phone *

Sponsor affirmation *

I hereby affirm that: (1) I regularly attend Group Reunion. (2) I will support the Pilgrim and the weekend with prayer. (3) I will answer Pilgrim’s questions about the weekend and about Cursillo. (4)I will support the Pilgrim with palanca during the weekend. (5)I will help to arrange transportation for the Pilgrim to and from the weekend. (6) I will attend the Closing Service with the Pilgrim.(7)I will see to it that the Pilgrim is a member of a regular Group Reunion, or will group with the Pilgrim for at least three months after the weekend.(8) I will offer to take the Pilgrim to Ultreyas for at least three months after the weekend.

I affirm

Required

Clergy Information

An email will be sent to the clergy for their approval.

Clergy consulted *

I hereby affirm that the parish clergy is aware of this application and supports it.

I affirm

Required

Clergy name *

Clergy email *

Clergy phone *

Additional information

Enter any additional information that is important for us to know.

Information

Submit

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