Weekend # ________ Check No: _______ Cash: _______ Sponsor Sheet Attached: ____
Applications are being accepted from persons whose churches are participating in the Via de Cristo movement as an instrument of Christian renewal. Via de Cristo is an experience of people coming together to examine their lives and to see how Christianity continues to be a part of their future. It is not sensitivity training or a vehicle for personal problem solving. There is no pressure on anyone to participate beyond what they are comfortable with. Each person is required to complete an application. Please do not combine husband and wife on one application. Single men and women are welcome to attend. Husband and wife are encouraged to attend as a couple. Please fill out the application carefully and print or type the information requested so it is legible.
Weekend Date You Are Applying For: _______________________________
Full Name: __________________________________________________
Spouse's Name: ______________________________________________
Home Address: _______________________________________________________
City: ___________________________ State: _____ Zip+4 Code: ________________
Home Telephone: (_____) _______________ Work : (Optional) (_____) _______________
Home Church: ________________________________________________________
Church City: ___________________________ Denomination: ________________________
Marital Status: Married [_] Single [_] Baptism Date: (Required) _______________________
Check One: Clergy [_] Clergy Spouse [_] Lay Person [_]
Birthday: __________________ Name you would like on your name tag: ________________________
Are there any considerations that you would like the leadership to be aware of? (i.e. dietary needs, medications, health concerns, etc.) If you need more room, please continue on the back side of this form and check here [_]. ________________________________________________________________________
Name of Sponsor: ______________________________________________________
Have you attended a similar weekend experience in another State or Organization Y{ } N { }
If yes, please tell us where and when. ________________________________________________________________________
A $30 fee is required for each applicant. Checks should be made payable to "Wisconsin Via de Cristo" and must be attached to the application. Your fee will be refunded up to two weeks prior to the weekend if you cannot attend. An acceptance letter and instructions for the weekend will be sent at a later date. The completed application should be given to your sponsor for further processing.
Applicant's Signature: _____________________________________ Date: ________________
Parish Representative: ____________________________________ Date: ________________
For Council Use Only Accepted: Yes [_] No [_]
Waiting List: Yes [_] No [_] Date Placed on Waiting List: __________________
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Wisconsin SonRise Via de Cristo