Cursillo Candidate Application

Cursillo Candidate Application

This form is for Candidates for the 2024 Cursillo Retreat Weekends
Men's Cursillo Weekend: Thursday, September 5 - Sunday September 8, 2024

Women's Cursillo Weekend: Thursday, October 17 - Sunday October 20, 2024

Begins Thursday at 5:00pm and ends approx. Sunday 5:30pm
Which Cursillo Weekend will you attend?*
Contact Info
Name*

First NameMiddle NameLast Name
Nickname
Email*
example@example.com
Home Phone*
Please enter a valid phone number.
Mobile (Cell) Phone*
Please enter a valid phone number.
Work Phone*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Occupation*
Emergency Contact Info
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship*
Home Parish

This would be your nearest parish OR the parish you regularly attend most
Parish Name*
Parish Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any Parish Ministry, Civic, Social, Oraganization(s) to which you belong
Knights of Columbus, Booster Club, City Council, etc
Sacraments & Practice of Faith
Are You Catholic? (Baptized in the Roman Catholic Church)?*

YESNO
Have You Received the Sacrament of First Communion (Eucharist)?*

YESNO
Have You Received the Sacrament of Confirmation?*

YESNO
Marital Status*

MarriedSingleSeparatedDivorcedWidowed
Name of Spouse*

First NameLast Name
Is Your Spouse Catholic?*

YESNO
Were You Married in the Catholic Church?*

YESNO
Has Your Spouse Attended Cursillo?*

YESNO
General Info
Do You Have Any Health Issues, diet, or allergies?*

NoYes (please explain)
How did you hear about the Cursillo?*
Sponsor's Name

First NameLast Name
Sponsor's Phone Number
Please enter a valid phone number.
Why do you want to experience the Cursillo Weekend?*
Has "Group Reunion" and "Ultreya" been explained to you by your sponsor?*

YESNO
I authorize photos and videos taken of me and understand that will be used for Cursillo purposes only

Yes, I authorize this
I understand that there is an Application Fee of $200.00. A non-refundable deposit of $25.00 is required for application to be considered complete.*

Yes, I understand
Please make check payable to: "Diocese of San Bernardino-Cursillo Filipino Group"

OR via "Zelle" to Sis. Nora Del Rosario at arondrose30@aol.com (909) 957-9244 indicate on the note the followiung: Name, Parish, Men's or Women's Class 2024.
Signature
Should be Empty:

Cursillo Candidate Application

Contact Info

Emergency Contact Info

Home Parish

Sacraments & Practice of Faith

General Info