Leadership and Success Amplifier Retreat
JULY THURSDAY 14th to SUNDAY 17, 2022

This registration form is my way to learn more about you and your expectations on your upcoming retreat.
Attendee's Preferred Name *
Contact #: What is the best mobile number to call you in case you get lost or can't find parking on arrival. *
Private email address *
Mailing Address *
Logistical Details
MONDAY 21st FEBRUARY
Arrive at Sanctuary Cove Carpark at 3.45pm sharp.

You will be leaving your car in the carpark for your duration at the retreat.
There are cameras and security guards there and no parking fees.
Its a few minutes walk from the carpark to the water, so bring trolley luggage and comfy shoes.

Water taxi to South Stradbroke Island.
Please minimise your luggage as we will all be responsible for carrying it (and there will be limited space on the ferry).

After we transfer from the ferry to the house, we will have a cuppa and settle into together.
Dinner will be cooked and prepared for us but we will be doing a worksop before dinner, so be prepared to get straight into the work. (I'm letting you get the most out of your time with me!).

TUESDAY 22nd FEBRUARY - WEDNESDAY 23rd FEBRUARY
Both days we will kick off with an early breakfast together or individually, the workshop/sessions start at 8am.
Lunch, morning and afternoon teas are all provided.
We will be 'working' until approx 7pm each day, so I'll be making sure we are fed well.
Please bring your own alcohol.  

THURSDAY 24th FEBRUARY
We will depart the house 10am returning via ferry to Sanctuary Cove  Carpark.

LOGISTICS: is there any arrival or departure details you need to let me know in advance?
INTENTION: What is the 1 aspect of life or challenge you wish to address at this event?  The more you focus on that 1 challenge in advance, the better your results. Not financial - we're doing that separately.*Please take your time to consider this, as the most powerful outcomes are achieved by a focus attention on an aspect. I will also bring you back to this area of intention as we go through activities together.
What is your biggest financial goal or ambition you want to achieve?
How do you feel blocked or challenged to achieving this wealth goal?
What are your current feelings and emotions about not being able to resolve these challenges and feelings on your own?
What would it feel like to have this goal done, accomplished and happening in your life tomorrow?
DIETARY: Requirements *
Required
SPECIAL NOTES OR REQUESTS: Notes that you need to let me know about, or requests for your stay - no promises can be made to fulfil them (but I will do my utmost)
IMAGES: Where prior approval is given, I permit unrestricted right to use all photographic data.
Mell Balment has the unrestricted right and permission to copyright and use, re-use, publish and republish the materials in all forms of media (including printed materials) for art, promotional and advertising commercial purposes.  This right extends to both domestic and foreign markets.  I hereby relinquish any right that I may have to examine or approve the completed materials or their uses.  I also understand that Mell Balment operates with Privacy, Integrity and Grace being her highest considerations in the sensitive work she conducts with me as her client.

Where prior approval is given, I permit unrestricted right to use all photographic data. *
Other notes/ questions for Mell & Megan to be aware of (confidential, not being shared with the other participants).
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