CCCC

PERSONAL INFORMATION

Name*

Prefix First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Cell

Email*

CURSILLO INFORMATION

Each secretariat is allowed 4 votes. Lay Director and Spiritual Advisor and 2 others. The Lay Director and Spiritual Advisor may not be replaced.

I am a Voting Delegate

YES
NO

I am Voting as:

Each secretariat is allowed 4 votes. Lay and Spiritual Advisor and 2 others. The Lay and Spiritual Advisor may not be replaced.

Name of Cursillo Movement:*

Diocese*

Year of my Cursillo weekend:*

Made in which diocese:*

I have attended a National Conference:*

YES
NO

ARRIVAL INFORMATION

I will be arriving by:

I will require transportation to the Conference:

YES
NO

You will be advised of pickup times and places once you have registered.

From:

Arrival Date:

Arrival Time:

:

Airline & Flt #

Bus # and Time

DEPARTURE INFORMATION

Please note. If you plan on arriving before June 25th or leaving after June 28th and for extra days accommodation you will need to make your own arrangements with the university. Contact Laura Flyyn UPEI Accommodations manager. 902 (566) 6099, Email: conference@upei.ca

I will require transportation from the Conference:

YES
NO

To:

Departure Date:

Departure Time

:

Airline & Flt.#

Bus # and Time

SPECIAL REQUIREMENTS

Please let us know of any food allergies or other requirements. Please be specific: i.e. diabetic, gluten free etc. PLEASE ADVISE IF THERE ARE MOBILITY ISSUES.

Special Requirements

ACCOMMODATIONS

Please provide names if you wish to share the room with a specific person.

1. 2-bedroom apartment with two private rooms, each with bathroom. Each room has 2 twin beds. Shared kitchenette, and lounge area. $386 per person. If you wish to share with a specific person, please complete 2 registration form and provide the names

2. 3-bedroom apartment with three single rooms. Each room has an XL double bed, 2 shared bathrooms Shared kitchenette and lounge area. $468 per person.

3. Couples who wish to share a room in the 3-bed apartment, please complete two registration forms and provide the name of the other occupant. $323 per person

Price includes dinner on Thursday evening, 3 meals on Friday and Saturday, Breakfast and lunch on Sunday. Free parking is available.

Accommodation choice*

2-bedroom apartment
3-bedroom apartment
Couples in 3-bedroom apartment

Sharing with

NB. CCCC has to guarantee the number of rooms. If you cancel, you will be responsible for payment of the accommodations portion of the registration fee. PLEASE READ THE INFORMATION SHEET FOR FURTHER DETAILS

Once registered you will be issued an invoice for the registration fee. You may pay by cheque or by e-transfer. We will accept payments over 3 months, paid in full by October 31st.
If you prefer to pay by cheque, please make cheques payable to CCCC Conference 2026

See invoice for mailing address. Contact CCCC Treasurer Muriel Brideau, cccctreasurer2017@gmail.com

PLEASE REGISTER AS SOON AS POSSIBLE
invoice will be e-mailed.

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Conferences

CCCC Conference 2026

Registration 2026