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Register for Free Access: The Future Is Now — 100 Day Immersion
FREE ACCESS:
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Email
*
Your email
Your
Full Name
:
*
Your answer
ABOUT YOU — Which of the following
best describes you
?
(Choose one, or "Other...")
I am a GUIDE (Coach, Facilitator, Advisor, Therapist, Teacher, or Mentor)
I am a LEADER (Founder, Manager, Director, Pioneer, Innovator)
I am an EXPLORER (Pathfinder, Discoverer, Voyager, Adventurer)
I am a BUILDER (Designer, Maker, Developer, Constructor, Planner)
Other:
Clear selection
AREAS OF INTEREST —
What are you interested in
?
(Please check all that apply.)
Leadership & Empowerment
Presence & Self Awareness
Personal / Professional Development
Vision, Mission, and Purpose, Area of Influence and Actualization
Community, Connection and Collaboration, Co-Creation
Mindful Business / Conscious Entrepreneurship
Creativity and Innovation
Other:
MINI BIO — A
short introduction
. About you, in a few words.
(An optional intro t
o be made accessible to other 100 Day Immersion
participants at "
LIST OF PARTICIPANTS"
.)
Your answer
FULL BIO — More
about you
: what you'd like for others to know, or what you will be working with at this Immersion.
(Again, optional, to be made
accessible to other 100 Day Immersion
participants at "
LIST OF PARTICIPANTS"
.)
Your answer
PARTICIPATION DAYS — On a week-by-week basis, on average,
what days of the week
do you expect you could be available to join 100 Day events?
(Check all that apply.)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
PARTICIPATION TIMES — In general, for some of the days above,
what times of day
do you expect you could be available to join 100 Day events?
(Check all that apply.)
Mornings
Early Mornings
Late Mornings
Mid Day
Afternoons
Early Afternoons
Late Afternoons
Evenings
Early Evenings
Late Evenings
Other:
YOUR TIMEZONE — Please share your
local timezone
. (Examples: Pacific/PT, Eastern/ET, Central European / CET, etc.)
Your answer
OPENING & CLOSING EVENTS (attendance encouraged, but not required) — Do you see yourself participating in the
Closing Celebration
on Saturday, September 23? (starts at 9 am PT / 12 pm ET and last 3 hours with a 20-30 minute break.)
Yes, I see myself participating in the Closing Celebration
No, I won't be available that day
Other:
Clear selection
SUBMIT TO REGISTER — Thank you very much for taking the time to complete this registration form. You are welcome to
keep the following email address handy
, and to reach out there with thoughts or any questions you may have as you proceed through the 100 Day Immersion:
contact@zaz.com
Please be sure to
SUBMIT
your registration by clicking the button below. Thank you!
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