Candidate Application

Gulf Coast Tres Dias
Weekend Candidate Application
Candidate Name*

First NameLast NameSuffix
Which current Tres Dias member will be sponsoring you?*
Name and phone #
Candidate Birth Date*

MonthDayYear
Candidate Street Address:*
Candidate City & State:*
Candidate Zip Code:*
Candidate Home Phone

Area CodePhone Number
Candidate Mobile Phone*

Area CodePhone Number
Candidate E-mail Address:*
YesNo
YesNo
What church do you currently attend?*
YesNo
If yes, where/how?
YesNo
If yes, has Spouse attended a Tres Dias, Emmaus Walk or Cursillo weekend?
Date Attended and where
YesNo
Acknowledgement Form

By participating in the Tres Dias Weekend, its related activities, and other Tres Dias gatherings, I agree that I have reviewed and agree to abide by the procedures established by Gulf Coast Tres Dias to protect attendees and participants. I agree to assume all the risks of attendance and participation for myself and waive any liability against Gulf Coast Tres Dias and any other involved parties.
Candidate Signature:*
Spouse Information
Spouse's Name

First NameLast NameSuffix
Which current member will be sponsoring Spouse?
Name and phone #
Spouse's Birth Date

MonthDayYear
Spouse's Mobile Phone:

Area CodePhone Number
Spouse's E-mail Address:
example@example.com
YesNo
YesNo
YesNo
If yes, where/how?
Acknowledgement Form

The novel coronavirus, COVID-19, as with the seasonal flu and other transmittable diseases, is considered highly contagious and is known to spread mainly from person-to-person contact. By participating in the Tres Dias Weekend, its related activities, and other Tres Dias gatherings, I agree that I have reviewed and agree to abide by the procedures established by Gulf Coast Tres Dias to protect attendees and participants, and I voluntarily assume the risk that I may be exposed to, or infected by COVID-19, or any other contagious disease, either on the weekend or any other related activities. I agree to assume all the risks of attendance and participation for myself and waive any liability against Gulf Coast Tres Dias and any other involved parties.
Spouse Signature:
Sponsor Information
Sponsor Name*

First NameLast Name
Relationship to Candidate:*
Years Known Candidate:*
Sponsor Phone Number*

Area CodePhone Number
Sponsor Street Address:
Sponsor City & State:
Sponsor Zip Code:
Does Candidate have any special needs that are required:
Should be Empty:

Gulf Coast Tres Dias

Weekend Candidate Application

Spouse Information

Sponsor Information