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APPLICATION
Register for a TDCC Weekend
I am registering as a Male or Female
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Male
Female
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Last name
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Multi-line address
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Address
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City
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Zip / Postal code
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E-mail
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Mobile Phone
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Home Phone
Church Attending
Are you a pastor?
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Yes
No
Marital status:
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Single
Married
Divorced
Widowed
Common-law union
Have you or your spouse attended a Tres Dias weekend, Walk to Emmaus, or Cursillo?
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Yes
No
Languages Spoken:
Spanish
English
Other:
Country of nationality:
Ocupación
AƱadir su empleo o trabajo
List any musical instruments you play:
Musical talents, singing?
Is a medically necessary diet?
Any special physical or medical needs?
T-shirt size:
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S
M
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XL
XXL
XXXL
Sponsor First Name:
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Sponsor Last Name:
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Sponsor Email Address:
Sponsor Phone Number:
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Emergency Contact:
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Emergency Contact Phone number:
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