Name:

Mailing Address

City, Province

Postal Code

Phone

E-Mail Address

Your Cursillo Community:


What year did you make your Cursillo?


In which Diocese did you make your Cursillo?


Have you attended a National?
Yes No

If Yes, what years have you attended?

Each affiliated Secretariat is allowed 4 voting delegates - Lay Director, Spiritual Director and 2 Lay Members. The Lay and Spiritual Advisor may not be replaced.

Are you a voting delegate?
Yes No

For voting delegates only, please select from the list who you are voting as:
____ Lay Director Spiritual Director Lay Member

Please let us know of any food allergies or other requirements. Please be specific.

Arrival Info:

Plane   Car   Bus  Other

I will require transportation to the conference: Yes    No

From: Toronto Airport , Hamilton Airport , Kitchener Airport , Kitchener Bus Station ,Kitchener Train Station

Airline         Flight No     Date:      Time:  

Bus Number       Train  

You will be advised of pickup times and place s once you have registered      

( Please Note: If you plan to on arriving before July 2nd or leaving after July 5th you will need to make your own arrangements for getting to or from the university.)

Departure Info:

I will require transportation from the Conference: Yes  No

Plane   Car  Bus  Other

Need Ride To: Toronto Airport,  Hamilton Airport , Kitchener Airport, Bus Station, Kitchener Train Station

Airline       Flight No      Date:       Time:

Bus:     Train: 

Dorm style rooms with 2 single beds per room and shared baths (1 bathroom per floor)

Please let us know of any food allergies or other requirements.  Please be specific i.e.  Wheelchair accessible room, diabetic etc.

Comments: