Cursillo Application

Cursillo Application

Print the form and mail to:
Sue Smith, Local Coordinator
Deaf Cursillo #68
3914 Chaucer Court
Monrovia, Md 21770
(301) 563-9441 vp
(301) 528-5079 text
Email: mdcursillo68@gmail.com

National Deaf Cursillo # 68
Registration Form

Name:_____________________________________________________

Male:_______Female:_______Age:_________

Address:___________________________________________________

_________________________________________________________

_________________________________________________________

VP:______________________________________________________

Email:__________________________________________________