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Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Have you attended an Adventures in Fatherhood course before? If so, what years and how many?
Why are you coming on this course? Describe three things you expect to gain from this course.
*
What or who are your major influences in your life at this time? Why?
*
How would others who know you describe you?
*
Do you have any previous wilderness experience? If yes, please describe.
*
Relational
Dads, please fill this out as it applies to your relationship with your son/daughter. If appropriate, please have your wife complete the lower section from her perception of your relationship with your son/daughter.
I am strongest in these THREE areas:
*
Affection
Affirmation
Awareness
Conflict Resolution
Consistency
Commitment
Communication
Decision-making
Discipleship
Faith
Integrity
Involvement
Knowing one another
Modeling
Nurturing
Priorities
I need to work on these THREE areas:
*
Affection
Affirmation
Awareness
Conflict Resolution
Consistency
Commitment
Communication
Decision-making
Discipleship
Faith
Integrity
Involvement
Knowing one another
Modeling
Nurturing
Priorities
On average, how many hours per week do you spend with your son/daughter?
For wife to fill out:
I see his strength in these THREE areas:
*
Affection
Affirmation
Awareness
Conflict Resolution
Consistency
Commitment
Communication
Decision-making
Discipleship
Faith
Integrity
Involvement
Knowing one another
Modeling
Nurturing
Priorities
I see him needing to work on these THREE areas:
*
Affection
Affirmation
Awareness
Conflict Resolution
Consistency
Commitment
Communication
Decision-making
Discipleship
Faith
Integrity
Involvement
Knowing one another
Modeling
Nurturing
Priorities
Comment
Submit
