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Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Why are you coming on this course? Describe three things you expect to gain from this course.
*
Have you attended an Adventures in Fatherhood course before? If so, what years and how many?
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 dad?
Name
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