The Mug Club @ Journey's Inn Application
I am honored that you've decided to take the next step and apply. Please fill out this confidential application, as it will help me determine if this program is a good fit. I will personally review your application and  follow up with you via email or phone.

Warmly, 
Dr. Jason Frishman
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Where did you hear about The Mug Club @ Journey's Inn? *
First name *
Last name *
Email *
Phone Number *
Birthdate *
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DD
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How long have you been fathering? *
To whom are you a father? (And how old are they?) *
Do you have a partner or co-parent? *
What are some challenges/obstacles that get in the way for you? *
What are the biggest obstacles to connecting with your kids and/or partner? *
What are some of the activities that you enjoy? (Alone, with your kid(s), partner, friends and whole family?) *
Are you ready to make the time and effort to connect with your family and yourself? *
Why are you interested in the Mug Club? What are you hoping to get out of participating? *
Can you share an interesting tidbit about your Fatherhood Journey? *
Why would you make a great addition to the JourneyMen community? *
Additional comments: *
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