Surname

First Name (name commonly used)

Address

City

Postal Code

Phone Number

E-Mail Address

Spouse, if applicable

Parish


Does your candidate have any physical disabilities or health needs requiring special attention?   Yes    No
Details:

Does your candidate have any special dietary requirements?   Yes    No
Please list any foods that CANNOT be eaten:

On the weekend we sleep in dormitories on foam mats on the floor. If this creates a problem, some cots may be supplied. Is your candidate able to use a foam mat?
Yes    No

Name

Address

City

Postal Code

Phone Number

E-Mail Address** Required

Parish


Are you in a permanent Group Reunion?
Yes    No

When and where did you make your Cursillo?

I have known the candidate for years

Why do you feel this person should make a Cursillo?

Is there anything you can add to the above that you feel may make their Cursillo experience more meaningful?


Have you explained Cursillo?  Yes    No

As a sponsor I hereby agree:
- to arrange transportation for the candidate to and from the weekend
- to contact family during the Cursillo to see if they have any urgent needs
- to take an active interest in the candidate after the Cursillo including getting them to their first Ultreya and the Fourth Day
Click in the 'Yes' box and type your name and today's date in the applicable boxes to acknowledge agreement.

Yes, I agree to fulfill my commitment to my candidate

Name:

Date: