20th NATIONAL CURSILLO ® ENCOUNTER
KANSAS CITY, MISSOURI
July 29 - August 1, 2010 
Rockhurst University
Kansas City, Missouri 
 
TO REGISTER (NOW) ON-LINE 
   Fill out this form from your browser 
   Use separate form for each registrant 
   Use MasterCard or VISA card as payment 
   Click on "Submit Form Now" button  		Submit completed form to:
National Cursillo® Center
P.O. Box 799
Jarrell, TX 76537
Phone: 512-746-2020
FAX: 512-746-2030 

 
  

TO REGISTER (LATER) USING FAX OR MAIL 
   Use the printable registration forms --- do not use the form below 

 
Name:
(Last Name, First Name, Middle Initial)
Address: 
City:   State:   Zip:  
Country: 
Home Phone: 
Work Phone: 
Fax: 
Email: 
Diocese:      Region:  
 
Vocation (check one):  Bishop    Priest    Deacon    Religious    Laity
Gender (check one):  Male    Female
 
Preferred language:
 
If you desire to room with a specific individual (spouse, friend, etc.), both registration forms must be submitted within 2 hours of each other. 
 
Roommate preference? (check one): Yes     No    If yes, name:
 
Wheelchair/ physically challenged:
 
Do you wish to participate with the Encounter Choir? (check one): Yes     No
 
REGISTRATION FEES

The registration fee includes three nights lodging, dinner on Thursday evening, 3 meals on Friday and Saturday, and breakfast on Sunday morning.  All registrants must bring their own bed linens, blanket, and towel.  The University will not provide these items.
 
There will be transportation from Kansas City International Airport (MCI) to/from Rockhurst University on July 29 and August 1, 2010.  Download a map of the university campus.
 
Cost is $370 per person if received by May 31, 2010.
Cost is $420 per person if received from June 1 to June 30, 2010.
Unable to guarantee lodging after June 30, 2010.
 
REGISTRATION FEE   $ 
 

PAYMENT OF FEES - SECURE SERVER 

Charge registration fee to my credit card (USA dollars): 
MasterCard  VISA 
 
Card Number:
Expiration Date:   
Cardholder's Name: 
(as appears on credit card)
Address:  
(from credit card billing address)
City:  
(from credit card billing address)
State: 
(from credit card billing address)
Zip/Postal Code: 
(from credit card billing address)
Country: 
(from credit card billing address)
 

THIS IS A SECURE TRANSACTION.  We have taken every precaution to protect this transaction, using state-of-the-art 1024-bit encryption software. 
 

CANCELLATIONS 

Please notify National Cursillo Center by email or fax for all cancellations.  There is a $40 non-refundable fee for all cancellations before May 31.  No refunds after May 31, 2010.  The National Cursillo Center is responsible for the payment to the University regardless of cancellations. 

National Cursillo® Center
P.O. Box 799
Jarrell, TX 76537
Phone: 512-746-2020,   FAX: 512-746-2030

 

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