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Outgoing Feedback Form – Participants

1Personal Information
2Your Feedback
This information will used to inform future decisions about the programs, policies, rhythms and community life of YWAM Mountain Refuge. The information on this form will be kept in a secure location (both digitally and in paper files) and only authorized persons will have access to this information. If feedback is to be used in promotion and newsletter communications, your consent will be obtained first.

Personal Information

Permanent Address