Cursillo Pilgrim Application
Use this form to submit an application to attend an upcoming Cursillo. Please consult with the parish clergy before submitting this application. The pilgrim, sponsor, parish clergy, and the Cursillo Registrar will receive a email notification when the form is submitted.
Upcoming Cursillos
Cursillo #173 - Sep 11-14, 2025 - Lay Rector: Tonye Frith, Church of the Nativity Dothan AL
Cursillo #174 - Mar 11 - 15, 2026 - Lay Rector: TBA
Cursillo number
*
173
174
Pilgrim Information
Submit an application for each person who will be attending the Cursillo weekend.
Pilgrim Name
*
Usual First Name
Last Name
Pilgrim Email
example@example.com
Pilgrim Phone Number
*
Mobile phone number is preferred
Pilgrim Mailing Address
Date of Birth
-
Month
-
Day
Year
This information is used to create groups with diverse ages.
Gender
*
Male
Female
Pilgrim Parish
*
Please Select
Advent, Lillian
All Saints, Mobile
Chapel of St. Dismas, Atmore
Christ Cathedral, Mobile
Christ Church, Pensacola
Christ the King, Santa Rosa Beach
Epiphany, Crestview
Epiphany, Enterprise
Good Shepherd, Mobile
Grace, Panama City Beach
Holy Cross, Pensacola
Holy Nativity, Panama City
Holy Spirit, Gulf Shores
Holy Trinity, Pensacola
Immanuel, Bay Minette
Nativity, Dothan
Redeemer, Mobile
St. Agatha's, Defuniak Springs
St. Andrew's, Destin
St. Andrew's, Mobile
St. Andrew's, Panama City
St. Anna's, Atmore
St. Augustine, Navarre
St. Christopher's, Pensacola
St. Cyprian's, Pensacola
St. Francis, Gulf Breeze
St. Francis', Dauphin Island
St. James, Fairhope
St. James', Eufaula
St. James', Port St. Joe
St. John, Robertsdale
St. John, Wewahitchka
St. John's, Mobile
St. John's, Monroeville
St. John's, Pensacola
St. Jude's, Niceville
St. Luke's, Marianna
St. Luke's, Mobile
St. Mark's for the Deaf, Mobile
St. Mark's, Troy
St. Mary's, Andalusia
St. Mary's, Coden
St. Mary's, Milton
St. Matthew's, Chipley
St. Michael's, Chickasaw
St. Michael's, Ozark
St. Monica's, Cantonment
St. Patrick's, Panama City
St. Paul's, Daphne
St. Paul's, Foley
St. Paul's, Magnolia Springs
St. Paul's, Mobile
St. Peter's, Bon Secour
St. Peter's, Jackson
St. Simon's, Fort Walton Beach
St. Stephen's, Brewton
St. Thomas, Citronelle
St. Thomas, Greenville
St. Thomas', Laguna Beach
Trinity, Apalachicola
Trinity, Atmore
Trinity, Mobile
Pilgrim Preferred Roommate
Optional
Preferred nonalcoholic beverages
Other Preferred Beverages
Do you have any food allergies or sensitivities
*
No
Yes
Foods I should not consume
This is to ensure we can provide you with foods that are safe for your consumption.
Pilgrim Photo
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Sponsor
Sponsor Name
*
First Name
Last Name
Sponsor Email
*
example@example.com
Sponsor Phone Number
*
I, {sponsorName}, hereby affirm that:
I regularly attend Group Reunion.
I will support the Pilgrim and the weekend with prayer.
I will answer Pilgrim’s questions about the weekend and about Cursillo.
I will support the Pilgrim with palanca during the weekend.
I will help to arrange transportation for the Pilgrim to and from the weekend.
I will attend the Closing Service with the Pilgrim.
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.
I will offer to take the Pilgrim to Ultreyas for at least three months after the weekend.
Sponsor affirmation
*
I affirm
Clergy Approval
I hereby affirm that the parish clergy is aware of this application and supports it.
*
I affirm
Clergy Name
*
First Name
Last Name
Clergy Email
*
example@example.com
Clergy Phone Number
Addition Information / Message
Message
Submit
Should be Empty: