Please Read

Registration Fee is $345.00 per person. Full payment and this form must be received by June 15, 2016. Registration fee increases to $400.00 per person beginning June 16, 2016. Unable to guarantee registration after June 30, 2016.

Please use a separate Registration Form for each person. Type or print legibly and fill in all spaces as applicable.

There is a $40.00 non-refundable fee for all cancellations through May 31, 2016. No refunds after May 31, 2016. The National Cursillo® Center is responsible for payment to Lewis University regardless of cancellations.