Candidate Application

NH Cursillo Candidate Application

Fields marked * are required.

The Candidate (you) must be at least 18 years of age and be sponsored by an existing Cursillista
You must be a baptized Catholic and able to receive Holy Eucharist
This application MUST be submitted to the NH Cursillo Committee two weeks prior to the scheduled weekend in order to ensure accommodations and plan for meals

Candidate Information

Which Cursillo would you like to attend? *

Title

First Name *

Last Name *

Suffix

Email Address *

Address 1 *

Address 2

City *

State *

Zip *

Cell Phone *

Home Phone

Emergency Contact *

Emergency Contact Phone *

Emergency Contact Relationship *

Age * (must be 18+)

Occupation

Sponsor Information

Sponsor First Name *

Sponsor Last Name *

Sponsor E-Mail *

Sponsor Phone *

Parish Information

Are you able to receive the Sacrament of Holy Eucharist in the Catholic Church? *

Are you affiliated with a Parish? *

If yes, which Parish?

Marital Information

Marital Status *

If married, Spouse's Name

Has your spouse lived a Cursillo?

Special Considerations

Cursillo events are alcohol and smoking-free.
All meals and snacks will be provided throughout the Cursillo weekend.

Do you have any health conditions or special needs that could affect your participation during the Cursillo Weekend (e.g. Limited mobility/disability, Diabetic, Epileptic, allergies, etc.)? *

If yes, please specify:

Do you need to be attentive to food content due to allergies or dietary restrictions? *

If yes, please specify:

Privacy Authorization

From time to time, NH Cursillo publishes photos, names, parishes, and/or city/state of people who live a Cursillo weekend to welcome and introduce them to the Cursillo community. However, we want to respect your privacy. Therefore, do you grant NH Cursillo permission to use the following on the NH Cursillo website, social media, newsletters, and/or other publications?

Name *

Photo / Video *

Parish *

City / State *

Signature

By typing my name, I am electronically signing this application *

Date