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Couples Leadership Retreat 2026
3 Minute Application. There is no cost or commitment to apply.
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1
Name
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First Name
Last Name
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2
Can you and your spouse complete a mile in under 12 minutes?
*
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Yes; any day!
Not sure; but with training we could get there!
No Chance!
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3
Email
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example@example.com
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4
What is your home state/ providence?
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5
Why do you feel you and your spouse are a great fit for this experience?
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6
Over the next 6 months, how would you like to see your family and marriage grow?
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7
Phone Number
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Please enter a valid phone number.
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8
What time is best to reach you?
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Mornings
Afternoons
Evenings
Saturdays
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9
How first learn about the program?
*
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Facebook/ IG Ad
The Couples Leadership Podcast
Other Podcast
Friend/ Referral
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10
Question or comments? (OPTIONAL)
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