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WHO WE ARE
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- Creating Adventure
- Sobriety

HOME
WHO WE ARE
TOPICS
- Sobriety
- Creating Adventure

2024 Rockstar

Super Dad Conference

First Name *

Last Name *

Email *

Phone *

Your Age? *

How many kids do you have? *

Marital Status? *

Married

Divorced

Separated

Single

Occupation? *

Employed

Business Owner

Self – Employed

Contract work

How are you with Discipline? *

Strict

Let my spouse handle it.

Passive

In the middle of strict and soft.

Just Few Steps Left💫

How would you rate your relationship with your kid(s)? *

Broken / No Communication

Fair

Good

Great

How much time do you spend individually with your kids each week one on one? *

0 - 5 hrs

5 - 10 hrs

10 - 15 hrs

15 – 20hrs

20+ hrs

How many family vacations do you take a year? *

None

1 - 2

2 – 4

4+

Do you attend church? *

Non-Denominational

Catholic

Jewish

Atheist

None

Final Step!

How often do you date your kid(s) individually per year? *

1 – 5 times

5 – 10 times

6 – 15 times

15 +

What is the most fun you have had with your kid(s)? *

NEXT

Sponsored by:

Event Center West

1701 25th Street, WDM, IA 50266

Saturday Sept. 26th 2024

8 AM - 5 PM

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