Thank You For Registering – Marriage Boot Camp

Skip to the content

Marriage Boot Camp

Our Upcoming Live Events: Precautions we are taking to protect you from the COVID-19 virus (Read More Here)

Home
Resources
About
- Directors
- Coaches
Blog
Videos
Testimonials
- Submit Testimony
Contact
- Phone Number
- Email

Boot Camp Registration (Step 2 of 2)

Welcome to the Marriage and Life Enrichment Boot Camp event!

___TVE_SHORTCODE_RAW__[cs_content][cs_element_section _id=”1″ ][cs_element_row _id=”2″ ][cs_element_column _id=”3″ ][cs_element_headline _id=”4″ ][/cs_element_column][/cs_element_row][/cs_element_section][cs_element_section _id=”5″ ][cs_element_row _id=”6″ ][cs_element_column _id=”7″ ] [/cs_element_column][/cs_element_row][cs_element_row _id=”8″ ][cs_element_column _id=”9″ ][cs_element_text _id=”10″ ][/cs_element_column][/cs_element_row][/cs_element_section][/cs_content] __TVE_SHORTCODE_RAW___

Preparing for our upcoming meeting we would love to know a bit more about you. Please fill the form below TODAY!

Intake Form

Step 1 of 5

20%

Name*
Relationship Status*
Birth date*
Date Format: MM slash DD slash YYYY

On a scale of 1-10 rate the following based on how you felt as a child
My life*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
My primary relationship*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
My relationship with my mother*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
My relationship with my father*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
My work life*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
My health*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
My finances*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10

Check any types of help have you received*
- Therapy
- Counseling
- Self-Help
- 12-Step
- Seminars
- Other
Other

Answer the following questions based on how you felt as a child
My feelings are OK*
- Yes
- No
It's OK to be vulnerable*
- Yes
- No
It's OK to express my needs*
- Yes
- No
My care givers were consistent and predictable*
- Yes
- No

Fill in the blanks
If I could get one thing out of my Boot Camp experience it would be*
My perfect world has the following characteristics*

Find out how you can be a part of this amazing,
life-changing experience.

It’s time for you to change your life. Don’t miss out on the next Book Camp.
Add your email below to be the first to be notified and reserve your spot:

Your Name*
Your Email*
Email
This field is for validation purposes and should be left unchanged.

Covid 19 Guidelines
Privacy Policy
Terms Of Use
Cookie Policy
Refund Policy

Evangelical Counsel for Financial Accountability

Copyright © 2020 by Marriage Boot Camp
All Rights Reserved

This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Cookie settings ACCEPT

Cookies Settings

Privacy Overview

This website uses cookies to improve your experience while you navigate through the website. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may have an effect on your browsing experience.

Necessary

Always Enabled

Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.

Non-necessary

Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.

Request ONE FREE Session

Your Name*
Email*
Spouse Name*
Phone Number*
Please select your coach*
How May We Be Of Service (Add additional details here please ...)*
Name
This field is for validation purposes and should be left unchanged.