LEAP Youth Training – June 12 – 15, 2023, Idyllwild, CA

Registration

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First Name *

Preferred First Name

Last Name *

Phone *

Email Address *

Street Address *

City *

State *

Zip Code *

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Birth Date

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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Please Note

Cost:
$595 Regular price until June 10th at 5pm PST

*Cost includes 4 full days of training, overnight camp accommodations Monday, Tuesday, and Wednesday evenings, along with meals and snacks.

*****If you prefer Venmo, you can venmo the amount to @quanesha-moore and click “Yes” above to having a payment arrangement on this form.

Training Location:
Pine Springs Ranch
58000 Apple Canyon Road
Mountain Center, CA 92561

Times & Dates:
June 12 – 15, 2023
Monday: (Check in at 9am) 10am to approximately 10pm
Tuesday: 9am to approximately 10pm
Wednesday: 9am to approximately 11pm
Thursday: 9am to approximately 8:30 pm

*LEAP participants are dropped off/arrive at approx. 9am June 12th and stay overnight through the duration of the training at the graduation conclusion at 8:30pm June 15th

**Family and friends are invited to join us for the ‘Parent Meeting’ with the Trainer at 5:30pm and also for the graduation ceremony at 7pm that final day. Parents/guardians are strongly encouraged to attend both.

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While in the training, you will have the opportunity to engage in interactive exercises, lecturettes, small group and one-on-one conversations. Breaks are approximately every 2-3 hours, with an extended dinner break.

Once your registration and full payment is received, you will soon receive an email with a confirmation packet with information. In the few weeks prior to training, you will also receive a call from one of our team members to set up a standard pre-training support call at a time that works best for you. During this call, our team member will support you in answering any questions you may have about the training, as well as to identify your vision and purpose in participating during those days of training.

*All payments are non-refundable. If a participant completes all 4 full days of the training and is unsatisfied with the value received, a full refund may be issued at that time upon request.

Questions?

Quanesha Moore – LEAP Sponsor
qmoore@vbcpasadena.org | (336) 458-6964