• Please provide all requested information.

     A Cursillo retreat weekend costs $400 per person.  We ask for a minimum donation of $150. This fee partially offsets the expenses of the Cursillo weekend.  A pre-registration deposit of $30 can be mailed to the office, or submitted on our website (peoriacursillo.org), which will be applied toward your total contribution of $150.  Cursillo is open to candidates who are at least 21 years of age.  Please submit husband and wife reservations at the same time, whenever possible.  Scholarships are available, if needed.
  
      Please provide all requested information. When you have completed the form, click "Submit" and the information will be sent to the Cursillo Office.  Thank You.
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  • Friend (Candidate) Name - First & Last: REQUIRED Please fill out this field. Please enter valid data.
  • Mentor/Sponsor Name - First & Last: REQUIRED Please fill out this field. Please enter valid data.
  • Street Address: REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Preferred Phone: Please enter valid data.
  • Month & Year of Your Cursillo: Please enter valid data.
  • Cursillo # and Place: Please enter valid data.
  • Church now attending & City Please enter valid data.
  • Are you in a Cursillo Reunion Group? Yes No
  • Contact person of your Reunion Group? Please enter valid data.
  • Do you feel your friend has the physical and mental health needed for a Cursillo weekend? Yes No
  • Does your friend have any physical disabilities for which we need to prepare? Yes No
  • If yes, please describe fully: Please enter valid data.
  • Does your friend have any special dietary needs? Yes No
  • If yes, will you help provide those dietary needs? Yes No
  • If your friend is not Roman Catholic, have you explained the Catholic practices of piety at Cursillo? Yes No
  • If your friend is not Roman Catholic, have you explained that there is no intercommunion? Yes No
  • If your friend is married, have you discussed Cursillo with the candidate's spouse? Yes No
  • Will you bring your friend to Registration? Yes No
  • Will you attend the Mentor's (Sponsor's) Hour? Yes No
  • Will you attend the Palanca Prayer Service on Saturday night? Yes No
  • Will you attend the Clausura? Yes No
  • Have you discussed the post-Cursillo meeting with your friend and explained its purpose? Yes No
  • Are you able and willing to assist your friend take part in a Cursillo Reunion Group for at least six months? Yes No
  • Are you able and willing to assist your new Cursillista on his/her Fourth Day journey for at least 6 months, including accompanying to Cursillo events (Ultreyas, Days of Renewal/Rekindle programs) and check in with your new Cursillista on a regular basis? Yes No
  • Are you doing palanca for your friend? Yes No
  • Are you aware of the importance of minimal contact with your friend during the Cursillo weekend, even if the friend is your spouse? Yes No
  • What is your relationship, if any, to this person? Please enter valid data.
  • How long have you known this person? Please enter valid data.
  • Why do you feel this person would be a good candidate?
  • Comments:
  • Mentor's Signature & Date: Please enter valid data.

  Submit

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