Anglican Diocese of Toronto
Application Form
Name (Mr. Mrs. Ms Rev.)………………………………………………………………………………
Address…………………………………………………………………………………………………
Telephone #……………………………… Fax……………………………………………
Email………………………………………………………….…………………………………………
Parish…………………………………………………………… Have you been baptized? Yes / No
Age (circle) 18-30 31-40 41-50 51-60 61-70 70+
Sponsor's Name and Phone Number ………………………………………………………………………
Priest's Name ………………………………………………………………………………………………
A Cursillo Weekend is not a retreat. It is an invitation to Christian Growth
through encountering the
living Christ within the context of a supportive and prayerful community.
There are times for worship,
listening, fellowship, sharing, play, prayer, and much singing. It is a
residential course and participants
are expected to attend the entire weekend, from suppertime on Friday evening
to late Sunday evening.
How do you hope to benefit from Cursillo? ………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Is there anything you would like to tell us about yourself which would
help to enhance your weekend?
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Diet restrictions? …………………………………………………………………………………………
Allergies?…………………………………………………………………………………………………
Health concerns?…………………………………………………………………………………………
In case of emergency, please contact……………………………………………………………………
You will share a room with one or two people. Name of person you may wish
to share with ………………
Signature of Applicant…………………………………………… Date …………………………
Additional Information regarding the Weekend:
The total cost of the weekend is $250; if you register prior
to a May 25, the cost is $225.
A non-refundable deposit for $75 should accompany this application form.
The balance is due when you check in Friday night. Cancellations must
be received at least two weeks prior to the weekend to avoid incurring the
total cost.
Your Sponsor will forward this completed application form and your deposit cheque to the Registrar who will confirm your application.
Registrar: Wendy Trotter, P.O. Box 146, Pickering, Ontario L1V 2R2. Email:
torontocursilloregistrar @ hotmail.com
