Guest Application Form printable pdf download

Guest Application Form

GUEST APPLICATION FORM

SPRING/FALL WEEKEND (please circle) 20____

Name

Nickname

(For name tag)

Address

Sex: M/F

Birth Year

Phone

Emergency Contact

Phone

Episcopal congregation you attend & city

Name of a family member, friend and/or 'Cursillista' at your church

Their email

Phone

What physical or health concerns do you have that need to be provided for on the weekend?

(For example, allergies, special diet, accessability, stairs).

The cost of a weekend is $100 for guests. The true cost is $260. You are welcome to contribute the full amount - this

will enable the Come and See ministry to grow. Scholarships are available if needed.

$100 - GUEST DONATION

$260 - I AM ABLE TO DONATE THE FULL COST OF THE WEEKEND

I NEED FINANCIAL ASSISTANCE

OTHER AMOUNT

Thank you for your interest in Come and See. You will be contacted by the Office Manager when your application has been

received.

For questions, please contact

Return this form by printing, scanning and emailing to the above address OR mail to:

COME AND SEE/CURSILLO

1551 10TH AVE E

SEATTLE, WA, 98102

For office use only:

Secretariat signature:

Date:

Spiritual Director signature:

Date:

CH 06202017

Guest Application Form