(08/15)
PART A
TO BE COMPLETED
BY THE APPLICANT
APPLICATION TO ATTEND A
CANTERBURY CURSILLO WEEKEND
Please complete all of this application form and return it as early as possible to your sponsor who will send it to the Bookings Representative.
If the preferred Weekend for which you are being sponsored is full you will be offered a place on the next available Weekend.
Your Christian name …………………………………………………………………………….
Your surname …………………………………………………………………………….
Name you like to be known as …………………………………………………………………………….
Your address …………………………………………………………………………….
…………………………………………….Post Code …………………
Your telephone number …………..Email: ………….. ……………………………………………
Your marital status …………………………………………………………………………….
Your date of birth …………………………………………………………………………….
The Church which you attend ……………………………………………………………………………..
Parish ……………………………………………………………………………..
Diocese ……………………………………………………………………………..
Your Parish Priest …………………………………………………………………………….
His / Her telephone number ……………………………………………………………………………..
Cont’d over…..
Registered Charity Number 1022285
Regd. US Pat. Office Affiliated with British Anglican Cursillo Council
Do you have any particular dietary requirements?
Do you have any health or mobility problems likely to affect your Weekend?
Do you use large print copies? Yes / No ,or a loop system? Yes / No
Are you able to climb a flight of stairs? Yes / No
Would you prefer to have a single room, if one is available?
(Please note that the number of single rooms is very limited and it could be you will be asked to share a room)
Please give the name, address and telephone number of the person you would like to be contacted in the event of an emergency during the Weekend.
Title and name ………………………………………………………………………………………….
Relationship (if any) ………………………………………..Tel. No. ,…………………………………….
Address …………………………………………………………………………………………...
……………………………………….Post Code ……………………………………
Please give a brief description of any church activities in which you are involved
Continue on a separate sheet if necessary
We do ask that a donation of £95.00 is made towards the cost of the weekend if you are sharing a room. Single room cost is £150.00. This must be remitted with the application form even if payment is being made in part or in full by someone else. Cheques should be made payable to Canterbury Cursillo.
Your signature …………………………………………………………………………………………
Date …………………………………………………………………………………………
(08/15)
PART B
TO BE COMPLETED
BY THE SPONSOR
SPONSORSHIP FORM FOR A
CANTERBURY CURSILLO WEEKEND
Please complete this form and return it with Part A (completed by the applicant)
to the Bookings Representative as early as possible, to ensure that the pilgrim’s name is on the Palanca List.
Applicant’s Christian name …………………………………………………………………………….
Applicant’s surname …………………………………………………………………………….
Likes to be known as …………………………………………………………………………….
Sponsor’s full name …………………………………………………………………………….
Sponsor’s address …………………………………………………………………………….
…………………………………………………………………………….
Sponsor’s telephone number …………………………………………………………………………….
Sponsor’s Email …………………………………………………………………………….
Cont’d over …..
Registered Charity Number 1022285
Regd. US Pat. Office Affiliated with British Anglican Cursillo Council
Church attended by Sponsor ……………………………………………………………………………
Parish ……………………………………………………………………………
Diocese …………………………………………………………………………..
How long have you known the applicant? ……………………………………………………………….
Are you a member of a Group Reunion? Yes / No Ultreya Yes / No
Can you arrange for the applicant to join a Group Reunion? Yes / No
If yes, which one? …………………………………………………………………………………………….
Is the applicant’s priest aware that he / she is making his / her Cursillo? Yes / No
IF THE ANSWER TO ANY OF THESE QUESTIONS IS ‘NO’ IT WOULD BE APPRECIATED IF YOU COULD PROVIDE AN EXPLANATION. THANK YOU
What is the date of the Weekend you would like the applicant to attend?
If you are making a donation towards the cost of the Weekend on behalf of the applicant, the full payment of £95.00 or £150.00 must be returned with the application form.
Signature of Sponsor ……………………………………………………………………………….
Date ……………………………………………………………………………….
Please send to the Booking Representative:
JANE DAVIS
108 Manorfield, Singleton, Ashford, Kent, TN23 5YP
TEL: 07948 381681
Email:
(08/15) PART C
TO BE COMPLETED BY
THE SPONSOR, and sent to the Canterbury Cursillo Spiritual Director
APPLICATION TO ATTEND A
CANTERBURY CURSILLO WEEKEND
Confidential information about the applicant, of which you think the Lay Rector and Spiritual Advisors of the Weekend should be made aware, in order to ensure that the applicant gets the best out of the Weekend.
Applicant’s Christian name: ………………………………………………………………….
Applicant’s surname: …………………………………………………………………
Sponsor’s full name: …………………………………………………………………………….
Sponsor’s address …………………………………………………………………
…………………………………………….Post Code …………………
Sponsor’s telephone number …………………………………………………………………
Information about the applicant (continue overleaf if necessary)
Is the applicant’s priest aware that he/she is making his/her Cursillo? Yes / No
IF ‘NO’, PLEASE EXPLAIN WHY
Please send to: Rev'd Canon Toby Marchand
12, Langton Close, Deal Kent. CT14 6UL Tel: 01304 371419
Email:
Registered Charity Number 1022285
Regd US Pat Office Affiliated with British Anglican Cursillo Council