Application

MINNESOTA TRES DIAS APPLICATION

Sponsor: After careful thought and prayerful consideration, I commit myself to support this applicant BEFORE, DURING & AFTER the weekend.

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Sponsor's Name Sponsor's Signature

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(Street, City, State, Zip) (Area Code & Phone Number)

This section is to be completed by the candidate.

Name: ____________________________________________________ Nickname or Preferred: ______________

(Last, First, MI)

Street/Apt/Suite: ______________________________________________________________________________

City/State/Zip: __________________________________________________________________________________

Phone: (_______) _________________ (_______) _________________ (_______) _________________

Home Work Cell

E-Mail: _______________________________________________________________________________________

Date of Birth: ____________________ Age: _________ Marital Status: _____________________

If married:

Spouse's Name: ________________________________________________________________________________

Has your spouse attended or applied to attend a Tres Dias or similar weekend? ( )Yes ( )No

If yes, where and when? __________________________________________________________________________

Church attending and in what city: _________________________________________________________________

Are you a member of the clergy? ( )Yes ( )No

If so, what is the name of your ministry? ___________________________________________________________

Do you have any special needs? (Physical needs, chronic illnesses, special diet or medications) ( )Yes ( )No

If yes, please describe them. _____________________________________________________________________

_____________________________________________________________________________________________

I am applying to attend the ( )Men's ( )Women's Tres Dias weekend starting on ________________________

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Signature

Mail to: Minnesota Tres Dias, 1219 Ryan Ave. E., Maplewood, MN 55109

Candidate fee is: $145, payable to Minnesota Tres Dias.
An additional $15.00 Sponsorship Fee must accompany candidate application to secure his/her reservation and receive an acceptance confirmation. (Total fee is $160.00)

NOTE: Husbands and wives use separate application forms. Please return completed and signed form and fee to your sponsor or mail to the address above.

Name and phone number of family member other than spouse: __________________________________________________