Registration

If God is leading you to attending a weekend with us, please fill out our registration form below. This helps us better understand you and your needs. Once we receive your form, we will contact you to go over your information and answer some more questions that you may have.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Age
Birthdate
Marital Status
# of Children
If Married, spouse's name
Has Spouse attended a Tres Dias Weekend?
If yes, where and when?
Your occupation?
Education
- High School
- College
- Grad School
- Other
Religious Affiliation
Present Church
Religious or non-profit activities in which you have been involved
Hobbies or strong interests (include musical talents)
Are you:
- Outgoing
- Quiet
- Leader
- Follower
Do you have any physical disabilities, chronic illnesses, or emotional illnesses which might interfere with being able to participate in the three full days of Tres Dias?
If yes, please specify
Medical Diet or Allergies?
If Yes, please describe
Any special medications?
If Yes, please describe:
Hearing problems
If yes, please describe:
Please explain in a brief statement why you wish to participate in Tres Dias:
What Spiritual benefit do you expect to gain from the weekend:
Your sponsor's name & phone number:
Pastor's name and phone number

Your Sponsor is your contact person for the upcoming weekend. We require that you and your Sponsor inform your Pastor of your intentions to attend a Tres Dias weekend. This is why we ask for their contact information. If you do not have a home church or are in between churches, thats okay. If you do not have a sponsor, that's okay too, just contact our office so we can go over your application and assign a sponsor to you that is in your local area.