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303.639.9066
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303.639.9066
Programs
Counseling Intensives
Burnout
Well-being
Marriage
Sabbatical
Retreats
Spiritual Formation
Ministry Wives
Vacation Program
Get Involved
Events
Volunteer
Donate
Resources
Blog
Publications
Book Suggestions
Self-assessments
About
About Us
Our Team
Retreat Center
Testimonials
FAQs
Contact
Leadership Intensive Registration Form
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Your Information
Name
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Email
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Kuwait
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Panama
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Poland
Portugal
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Qatar
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Russian Federation
Rwanda
Réunion
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Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
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Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
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Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Are you married?
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Spouse's Information
Spouse's Name
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Spouse's Cell Phone
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Will your spouse be attending?
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Church/Organization Information
Name of Your Church/Organization
Church/Organization Address
Street Address
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City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Denomination
Intensive Information
Please select the type of Intensive:
Please Select
Counseling Intensive
Telehealth Counseling Intensive
Sabbatical Kickoff Intensive
Spiritual Formation Intensive
Telehealth Spiritual Formation Intensive
Not sure
Presenting Problems?
*
Additional Information
Interested in adding Brain Mapping to your Intensive? (for an additional fee)
Click here for more information on Brain Mapping.
Yes
No
Maybe
Preferred Start Dates
Programs begin with Sunday arrival and conclude after lunch on Friday.
Length of Leadership Intensive
*
One Week
Two Week
We offer a 20 & 25 hour option. Please specify:
20 Hour
25 Hour
First Choice
*
MM slash DD slash YYYY
Second Choice
MM slash DD slash YYYY
Preferred Start Dates (Spiritual Formation)
One-week Spiritual Formation Intensives begin with Sunday arrival and conclude after lunch on Friday. 3-day Spiritual Formation Intensives can be scheduled either Sunday through Wednesday or Tuesday through Friday.
Length of Leadership Intensive
*
One Week
3 Day
First Choice
*
MM slash DD slash YYYY
Second Choice
MM slash DD slash YYYY
Preferred Start Dates (Telehealth Spiritual Formation)
Our Telehealth Spiritual Formation Intensives are scheduled Monday through Friday. 3-day Telehealth Spiritual Formation Intensives can be scheduled either Monday through Wednesday or Wednesday through Friday.
Length of Leadership Intensive
One Week
3 Day
First Choice
MM slash DD slash YYYY
Second Choice
MM slash DD slash YYYY
Preferred Start Dates (Telehealth Counseling)
Our Telehealth Counseling Intensives are scheduled Monday through Friday.
Length of Leadership Intensive
One Week
Two Week
First Choice
MM slash DD slash YYYY
Second Choice
MM slash DD slash YYYY
Dietary Needs
A volunteer Host Couple will prepare your meals while you are at the Retreat Center. We strive to provide well-rounded, nutritional meals. Please let us know if you have any food allergies or medical dietary needs. We must know ahead of time, as there is a set menu. We will do our best to accommodate your needs during your stay, but please be aware that the Host Couple is preparing meals for multiple guests and may not be able to accommodate special requests.
Food Allergies?
*
Yes
No
Please specify the person with allergies:
Food Allergy Details:
Medical Dietary Needs?
*
Yes
No
Please specify the person with allergies:
Medical Dietary Needs Details:
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