Pilgrim Registration

Equipment needs(walker, wheelchair, other)

Dietary Needs (diabetic, gluten free, salt controlled, vegetarian, vegan, other)

Physical Limitations(walking, visual, hearing), Allergies (food, insects)

Mobility& Personal Care (please explain in the additional information box below)

Special Medical Needs (insulin controlled, epilepsy, breathing disorder)

Will a caregiver accompany you?

None

To ensure your full enjoyment and participation, please complete the following section so that we can best be prepared to meet your special needs or accommodations. If you do not have any special needs, chose None at the bottom of the list.

Pilgrim Registration

Cursillo Pilgrim Registration

Sponsor Information

Parish / Convocation

Weekend Information

Payment