Section 1 of 2
Cursillo Weekend Application Form
Personal Information / informacion personal
Email
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I want to attend the: / Quiero asistir al
I want to attend the: / Quiero asistir al
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Men's English Cursillo
Women's English Cursillo
Cursillo español de hombres
Cursillo español de mujeres
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Name
Name
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Email Address
Email Address
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Home Address
Home Address
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City, State, Zip Code
City, State, Zip Code
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Marital Status
Marital Status
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Single / Soltero
Married / Casado
Divorce / Divorciado
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Date of Birth (MMM/DD/yyyy
Date of Birth (MMM/DD/yyyy
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Telephone (Home)
Telephone (Home)
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Telephone (Cell)
Telephone (Cell)
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Section 2 of 2
Other Information
Parish
Parish
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Employer
Employer
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Dietary Restrictions
Dietary Restrictions
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Special Accommodations
Special Accommodations
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Link to Sheets
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