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Pilgrim Registration – Is open for Cursillo #262 September 17-20, 2026!

Cursillo Pilgrim Registration

Cursillo Weekend(Required)

Name(Required)

First Last

Goes by name (if different from first name)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Birthdate(Required)

MM slash DD slash YYYY

Gender(Required)

Female

Male

Language(Required)

English

Spanish

Spouse Name

Spouse must fill out separate application. This information is needed for room assignments.

Sponsor Information

Sponsor Name(Required)

First Last

Sponsor Goes By Name

If same as first name, leave blank.

Sponsor Email(Required)

Enter Email Confirm Email

Sponsor Phone(Required)

Parish / Convocation

Parish and Convocation(Required)

To find your parish, scroll down and the city then your home parish. If your parish is not found, select Other (either In Diocese or Not In Diocese) at the end of the list. If choosing Other, please list your home parish and city in the additional information box below.

Other

Name of Rector/Vicar(Required)

First Last

Rector/Vicar Phone(Required)

Best phone number

Rector/Vicar Email(Required)

Enter Email Confirm Email

Weekend Information

Special Needs(Required)

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.

Special Needs- Additional Information(Required)

This is a REQUIRED FIELD. If none, please enter NONE.

Payment

Choose your date(Required)

Total

Payment Type(Required)

Special Financial Arrangements