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the Crucible
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Email
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Full Name
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Phone
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Are you married?
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If so, for how long? What is her name? Where did you meet? If not, have you been married or are you planning on getting married?
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Do you have any children?
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If so, what are their names? How old are they? If not, do you plan on having children in the future?
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Why do you want to participate in the Crucible experience?
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If you are accepted into the Crucible experience, what are the 3 key breakthroughs you are committed to achieving?
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