Registration Form

Please print this page

Mail your reservation to:
Rick and Alison Stookey
2325 West Honolulu
Broken Arrow, OK 74012
918-451-0121 Fax 918-451-7130

Checks payable to: Tulsa Cursillo
Please respond by June 17, 2001

Registration Form

Name_____________________________________________________________________

Address___________________________________________________________________

City_________________________State_________________ZIP_____________________

Home Phone_______________Work Phone_____________E-Mail____________________

Parish____________________Emergency Contact___________________Phone__________

Overnight Yes or No Suite Mate__________________________________________

Commuter Saturday Breakfast: Yes or No Saturday Lunch: Yes or No
These meals are included in the price. We need a definite count for Kitchen.
Please list any special dietary needs for the weekend or any other needs that you require.