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(ERT) Emotional Resilience Training Men's Retreat Application
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Email
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First & Last Name
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Phone
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Email
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What peaked your interest about attending this retreat?
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Your answer
What outcome would you like to receive from this retreat?
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Have you been through any major losses recently or long ago that you feel still may be effecting your life?
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What is the best time to contact you to discuss the details about this event?
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