Cursillo Team Application
Name
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Preferred Name
Your answer
Phone
Your answer
Address
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Email
Your answer
Parish
Your answer
Emergency Contact
Your answer
Emergency Phone
Your answer
Dietary Needs
Your answer
Smoker
Physical Needs
Your answer
Roommate Notes
i.e. Do you use a Bi-PAP machine?
Your answer
What type of renewal weekend did you attend?
When did you attend and where?
Your answer
Have you served on a team?
If yes, when and what role did you fill?
Your answer
Are you currently in a group that meets regularly?
When available do you participate in Ultreya?
What gifts can you bring to the weekend?
Your answer
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