Group Registration Form

Where does your Ultreya meet?*
Number of Cursillistas in Your Ultreya*
What Day of the Week Does Your Group Meet?*
What Time Does Your Group Meet?*

: Hours

Minutes

AM/PM
Is Your Group an Open Group (open to new members)?*
- Yes
- No
Name of Group Contact Member
First Last
Who to contact about this group.
Phone
Email
Notes