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Dates
Servants
Restablecer la contraseƱa
Quiz
Development
Quiz Page
Test Application Page
Test quiz page
Test access denied page
Test registration page
Home
About Us
Candidates
Dates
Servants
Restablecer la contraseƱa
Quiz
Development
Quiz Page
Test Application Page
Test quiz page
Test access denied page
Test registration page
APPLICATION
I am registering a Male or Female:
Male
Female
First Name
Last Name
Nickname
Age
Address
Address Line #2
City
State
Postal (Zip) Code
Email Address
Mobile Telephone Number
Home Telephone Number
Church Attending
Are you a pastor?
Yes
No
Are you currently serving as a pastor?
Yes
No
Marital status:
Single
Married
Divorced
Widowed
Common-law union
Have you or your spouse attended a Three Days weekend, Walk to Emmaus, or Cursillo?
Yes
No
If "yes," which spouse
Husband
Wife
Community and weekend attended:
Weekend Attended:
Occupation:
Languages spoken:
Spanish
English
Other:
Country of nationality:
List any musical instruments you play:
Music talent, singing?
Medically necessary diet?
Any special physical or medical needs?
T-shirt size:
XS
S
M
L
XL
XXL
XXXL
Sponsor First Name
Sponsor Last Name
Sponsor Telephone Number:
Sponsor Email Address:
Send
