CURSILLO TEAM ORIENTATION APPLICATION (Please Print)

Name:(Mr. Mrs. Ms.) ____________________________________________________________

Name for Nametag ____________________________________________

Email _________________________________________________________________________

Address _______________________________________________________________________

City:________________________________________ State _____ Zip Code _______________

Home Phone No.:  __________________________

Cell No. ___________________________

Home Parish:___________________________________

Parish City:_____________________________

Attended Cursillo #______

In Dallas/Fort Worth? ___

If not, what Diocese? _______________

Would like to serve as the Music Leader on a Cursillo Team? Yes / No (Guitar or Keyboard preferred)
Mail application and $5.00 check to: Episcopal Center for Renewal 10290 Monroe Drive, Suite 101 Dallas TX 75229	Date of Training: