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| Pilgrim application: Please print, fill out, and return to address below. |
Pilgrim Application for Alabama Presbyterian Cursillo
#25 Name:_______________________________Prefer to be called: ________________ Address:_____________________________________________________________ Home Phone:__________________________Work Phone: ____________________ Email:__________________________________Birthday(month/day):____________ Male _____ Female _____ Marital Status: __________________________________ Occupation: __________________________________________________________ Are you Presbyterian? ______________ Home Church:________________________________________________________ Pastor:______________________________________________________________ Sponsor's
Name & Address:_____________________________________________ ___________________________________________________________________ Food Allergies, Dietary Needs, Health Problems that require special attention: ___________________________________________________________________ Hobbies/Interests:______________________________________________________ Signature/Date:_______________________________________________________ Do you need financial assistance?_______ Cost for the weekend $100.00
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