Ottawa Cursillo Team Registration Form
Cursillo is a method of personally encountering God, building one's faith, and encouraging participants to spread the Gospel of Jesus Christ through evangelization of their environments. Please fill out this application as completely as possible.
* denotes a mandatory field
Date
-
Month
-
Day
Year
Date
I am registering as a Team Member:
*
Men's Weekend
Women's Weekend
Name
*
First Name
Middle Name
Last Name
Please indicate your name as you would like it shown on your badge
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Primary Phone
*
Please enter a valid phone number.
Alt. Phone
Please enter a valid phone number.
When and where did you make your Cursillo?
*
Marital Status
*
Married
Single
Widowed
Separated
Divorced / Annulled
Has your spouse completed a Cursillo weekend?
Yes
No
Where?
When?
Marital Status Year
Married in the Catholic Faith?
Yes
No
Home Parish
*
Age group
*
21 - 30
31 - 40
41 - 50
61 - 70
71 +
Are you Catholic?
*
Yes
Other
Please indicate any physical limitations if any
Please indicate any health issues if any
Please identify any dietary or allergy concerns
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Please verify that you are human
*
Submit
Should be Empty: