2027 CEC Men's Weekend

Catholics Encounter Christ (CEC) Diocese of Grand Island

Men's Weekend February 18-21, 2027
Name

First NameLast Name
Name for Name Tag
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Parish
Have you previously attended a CEC or Cursillo weekend?
Occupation
Marital Status
Married couples are encouraged to submit their applications at the same time to support one another in their spiritual growth. If this presents an obstacle from attending, please contact your pastor, the lay director (Cristy Thompson 308-530-6002), or the spiritual director ( Fr. Lou Nollette 308-750-1205) to discuss.

Medical Information / Personal Liability
Emergency Contact Name

First NameLast Name
Emergencey Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any medical, physical, or special diet needs we should be aware of?
Release of Liability Waiver

I hereby grant the Diocese of Grand Island, their staff, and volunteers permission to be transported to an emergency medical or health care facility for immediate treatment and/or consultation, if deemed necessary. I understand that my emergency contact will be notified of any emergency situation immediately. I agree to be financially responsible for any and all medical expenses and/or treatment costs, and I release the Diocese of Grand Island, their staff, and volunteers from any liability.

I understand that this event is supported by the Diocese of Grand Island. I accept full responsibility for any legal or financial consequences which may result from any personal actions (i.e. damage to property or other participants/staff) taken by me, and I agree to hold the Diocese of Grand Island, their staff, and volunteers harmless with respect to any actions or claims that may be made in connection with personal actions taken by me.
Media Release
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Sponsor
A sponsor is someone who has attended CEC before. Your sponsor will keep you in prayer and be a resource for you prior to the retreat if needed. If you don’t have a sponsor in mind, please check “I need a sponsor” and we will assign you a sponsor. (Select one)
Name of Sponsor

First NameLast Name
Relationship
Email (CEC use only)
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

The cost of the weekend is $375 with an early bird rate of $325 through January 1, 2027. This covers all lodging and meals. To reserve your spot, either a $50 deposit or the full cost must be paid at the time of registration.

Cost should never prevent anyone from participating in this retreat. If you need help with the costs, please contact the CEC Council at cec@gidiocese.org

CEC Deposit ( Balance due at check-in)

$50.00

CEC full payment (Early Bird Rate through 1/1/2027)

$325.00

Enter coupon

Total

Catholics Encounter Christ (CEC) Diocese of Grand Island