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  • First Name REQUIRED Please fill out this field. Please enter valid data.

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    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.

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  • Parish or Affiliation REQUIRED Please fill out this field. Please enter valid data.
  • Cursillo Made REQUIRED

    Enter the number of the Cursillo you made.

    Please fill out this field. Please enter an integer (number) from 0 to 500.
  • When did you make your Cursillo? REQUIRED Please fill out this field. Please enter valid data.
  • When would you like to serve on a Cursillo Team? Please enter valid data.
  • Cursillos Worked Previously (Number and Position)
  • Position: Indicate Preference(s) Warden Auxiliary (6 week commitment after weekend) Troubadour Professor Chief Warden
  • What talks have you given (if any)? Ideals Layperson in the Church Piety Study Action Leader in Our Environment Christian Community in Action 4th Day
  • Do/Did you participate in a Group Reunion? REQUIRED (Select One) Yes No Please fill out this field.
  • If Yes, how long? Please enter valid data.
  • Are you willing to work a Cursillo out of town? REQUIRED (Select One) Yes No Please fill out this field.
  • Will you give a talk? REQUIRED (Select One) Yes No Please fill out this field.

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