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* 1. First and Last Name

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* 2. Email Address,

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* 4. In Session 4 you created a change experiment for a defined group you serve. What group did you focus on, what did you decide to do, why, and how do you intend to go about engaging it?

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* 5. In Session 4 you created a personal experiment. What did you decide to do, why, and how do you intend to go about engaging it?

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* 6. Who did you commit to journeying with from the retreat session?

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* 7. Are there one or two people, from outside the retreat, you'd like to invite to journey with you for the next 36 days?

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* 8. Do you have any questions for our Capacity Ministry Team? How can we further help you at this point?

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