LEAP Youth Training – June 17 – 20, 2024, Brookville, MD

Registration

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Last Name *

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Email Address *

Street Address *

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Spouse

First Name *

Preferred First Name

Last Name *

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Birth Date *

Fusion Questions

(You): What is a recurring thought, feeling or behavior in your marriage that you would like to see change? *

(You): What other way would you like to see your relationship with your spouse transformed? *

(You): What do you want for your future together with your spouse? *

(Spouse): What is a recurring thought, feeling or behavior in your marriage that you would like to see change? *

(Spouse): What other way would you like to see your relationship with your spouse transformed? *

(Spouse): What do you want for your future together with your spouse? *

What would you and your spouse prefer in your gift basket? *

Is there anything that would prevent you and your spouse from attending this training? *

Who told you about the training?

Parent Contact

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Last Name *

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Questions

Person Who Told You About the Training *

What’s a recurring thought, feeling or behavior that you would like to change? *

What relationship in your life do you most want to transform? *

What do you want for your future? *

Is there anything that would prevent you from attending this training? *

Payment Arrangement

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I already have prior arrangements made with the Training Sponsor regarding payment.

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