MTD Candidate Form

CANDIDATE FORM
Candidate weekend fee is: $145, payable to Minnesota Tres Dias (cash or check accepted) PLUS a $15 non-refundable fee to be paid by Sponsor, for a total of $160.

Please mail to: Minnesota Tres Dias, 722 Pioneer Trail SE, Cambridge, MN 55008
Name *

First Name Last Name

Address *

Main Contact Phone Number *

Area Code Phone Number
E-mail *
This is where you will receive your confirmation
Church You Attend
Church City and State
Married? *

Yes No
Spouse Name *

First Name Last Name
Spouse Main Contact Phone *

Area Code Phone Number
Have you been through a Tres Dias or Cursillo or Emmaus Weekend? *

Yes No
Has your Spouse been through a Tres Dias or Cursillo or Emmaus Weekend? *

Yes No
Weekend Signing Up For? *
Emergency Contact Name *
Emergency Contact Main Phone Number *

Area Code Phone Number
Relationship with Emergency Contact *
Your Birthdate (MUST BE 21+ to attend)

Month Day Year
Are you a smoker? *

Yes No
Any Special Needs You May Have? Food Allergies, Physical Limitations etc? *
Sponsor Information
Sponsor Name *
Sponsor Main Phone Number *

Area Code Phone Number
Sponsor E-mail *
Please Note: This application must be accompanied by the Sponsor Fee to secure your spot on the weekend. Please contact your Sponsor if you have any questions.
Should be Empty:

CANDIDATE FORM