Sponsor's Section
Pilgrim's Name: _____________________________________
Sponsor's Name: _______________________________________
Sponsor's Street Address: ________________________________________
City: _______________________ State: ____ Zip+4 Code: _______________
Sponsor's Telephone: (______) ________________
What activities at church is the weekender involved in? ______________________
_____________________________________________________________
_____________________________________________________________
Day and place of Sponsor's renewal group: _______________________________
_____________________________________________________________
_____________________________________________________________
I will attend this weekender's Candlelight: [ Y / N ] Clausura: [ Y / N ]
Sponsor's Signature: _______________________________ Date: ______________
Pastor's Section
Clergy: Please make sure that the information requested on the application is complete.
I certify that the applicant's church membership is at the church of which I am pastor and I endorse his or her participation on this weekend.
Pastor's Name: (Please Print) __________________________________________
Pastor's Signature: ________________________________ Date: _______________
Church: ____________________________________________________________
Street Address: ________________________________________
City: _______________________ State: ____ Zip+4 Code: _______________
Pastor's Daytime Telephone: (______) ________________
Please return these 2 forms to your Parish Rep so he/she can submit then at the Parish Rep meeting, (Date to be announced) or mail them to the Via De Cristo Coordinator: Denise Organ, 1718 Windsor Ct., Beloit, WI 53511
(Web Form: 03/20/2004)