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Dates
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Restablecer la contraseƱa
Home
About Us
Candidates
Dates
Servants
Restablecer la contraseƱa
APPLICATION
I am registering a Male or Female:
Male
Female
First Name
Last Name
Nickname
Age
Address
Address Line #2
City
State
Postal (Zip) Code
Email Address
Mobile Telephone Number
Home Telephone Number
Church Attending
Are you a pastor?
Yes
No
Are you currently serving as a pastor?
Yes
No
Marital status:
Single
Married
Divorced
Widowed
Common-law union
Have you or your spouse attended a Three Days weekend, Walk to Emmaus, or Cursillo?
Yes
No
If "yes," which spouse
Husband
Wife
Community and weekend attended:
Weekend Attended:
Occupation:
Languages spoken:
Spanish
English
Other:
Country of nationality:
List any musical instruments you play:
Music talent, singing?
Medically necessary diet?
Any special physical or medical needs?
T-shirt size:
XS
S
M
L
XL
XXL
XXXL
Sponsor First Name
Sponsor Last Name
Sponsor Telephone Number:
Sponsor Email Address:
Send
