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HÉRD Social Club Membership Form

Welcome to her HERd. This form helps us get to know you so we can create experiences, connections, and opportunities tailored to you. Once the form is complete, you’ll be an official member of the club and receive a link to tiers + our private community.
First let’s start off with some primary information about you.

What is your birthday

(Select all that apply.)
What types of activities or events interest you most?
How often would you like to participate in events?
A
B
C
D

If there was one thing you’d like to do or have the group do as an event that you have never done before what would it be?

What are your main goals for joining CLUB NINE1FOUR?

What are your main goals for joining CLUB NINE1FOUR?

Are you a business owner or entrepreneur?

(If so tell us more about your business & If you would like to collaborate in hosting a event or collaboration with the club to highlight your business)

Choose your HERd experience ✨

All tiers have access to the HERd community choose the level that matches how you want to show up.
Choose your HERd experience ✨
A
B
C

Pay for your Membership:

If you are doing OPEN ACCESS please skip this section!

Social Access Tier


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Inner Herd Tier


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Thank you for filling out our membership form. We are so happy you are interested in joining the HÈRD. Please see next page for membership approval.