The Rising Tide Mastermind

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First and Last Name *

Email Address *

Mailing Address *

Birthday *

YYYY

Instagram Handle *

T-Shirt Size *

Women's sizing

XXL

Is it OK that we share your email address and IG handle with the group? *

Yes

Let's talk about it

What is your sleeping preference at the retreat?

Check the two options that you PREFER!

Bed by yourself, Twin or Full

Bed by yourself and I'm OK with a top twin bunk

Shared King

I don't care where I sleep, I just want the least amount of people in my room

Required

We will make every attempt to honor your preference indicated above. However, please check the options that you would be OK with, even if they aren't preferred. *

Bed by yourself

Bed by yourself and I'm OK with a top twin bunk

Shared King

Shared Queen

I'm a rock star sleeper and don't care where I sleep as long as there's a mattress & pillow

Air mattress (this will not be an option, but just in case, knowledge is power)

Required

Have you cleared your calendar for the retreat, February 1-5, 2023? Arrival will be Wednesday February 1st around 6pm (we'll give all the exact details later) and we will leave Sunday, Feb. 5th around 10 am. *

Yes

Working on it

I can't go to the retreat, but I will be dedicated for the 6 month mastermind

Other:

We will make every attempt to honor food allergies. Please tell us below if you have any food allergies. A menu will be sent out prior to the retreat so that you can plan accordingly. *

*Food sensitivities and food preferences will be addressed next. If no allergies, type "none".

Please tell us below about your food sensitivities and food preferences. We will do our best to accommodate eating preferences. A menu will be sent out prior to the retreat so that you can plan accordingly.
*

If no sensitivities or preferences, type "none".

The mastermind will meet starting the second week in January and run through June 23rd. Meetings will be from 10-1 pm MST on either Tuesday, Wednesday, or Thursday. Which of the following days and times can you absolutely NOT make?

10:00 AM MST

11:00 AM MST

12:00 PM MST

1:00 PM MST

Tuesday

Wednesday

Thursday

Reminder, the timeframe that we will be meeting is from 10-1 pm MST on either Tuesday, Wednesday, or Thursday. Which of the following days or times would you prefer?

Please select at least a few options.

10:00 AM MST

11:00 AM MST

12:00 PM MST

1:00 PM MST

Tuesday

Wednesday

Thursday

Who referred you to the mastermind?

After we receive this completed form, you will be emailed an invoice for the mastermind.

By checking the box below, you agree to make your payment 24 hours after receiving your invoice.

I agree

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