FORT HOOD - HEART OF TEXAS CURSILLO APPLICATION TO ATTEND A WEEKEND
Please write in Boxes Only
APPLICANT INFORMATION
Age | Date of Birth (Month & Day) | Marital Status | Number of Children
ADDRESS
CONTACT INFORMATION
Parish Organizations, Affiliations or An Active Participant
Other Organizations in which you work:
Hobbies: Do you play a musical instrument? If so, which one?
THINGS WE NEED TO KNOW ABOUT YOU FOR YOUR SAFETY AND COMFORT
CIRCLE ONE
Do you have any health concerns which will effect your weekend?
NO YES Specify->
NO YES Specify->
Are you on a restricted diet?
Has your spouse attended a Cursillo weekend?
NO YES Details-->
If not, is your spouse scheduled or interested in attending?
NO YES Details-->
EMERGENCY CONTACT
Applicant, pleas no not write below this line
SPONSOR INFORMATION
I have (have not) explained the purpose, method, and strategy of the Cursillo Method , to incl. Group Reunions and Ultreyas.
SPONSOR ADDRESS
SPONSOR CONTACT INFORMATION