Registration Form
For Cursillistas new to our area.
Full Name
*
Prefix
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Status
single
married
widowed
divorced
clergy
vowed religious
Preferred Phone Number
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
E-mail
*
Add me to the newsletter list
YES
Where did you attend your Cursillo?
When did you make your Cursillo?
Current Parish
Ultreya
Looking for a Group reunion? Have questions? Fill in below.
If married, don't forget to add a registration for your spouse.
Submit Form
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