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Light Club Membership Application

This is an application to join the Light Club Light Worker Membership.

What is your name?

What is your email address?

What is your Instagram Handle?

What is your phone number?

What resonates the most with you about what you see on the Light Club website?

What are you most looking for in a community?

What kind of people do you want to surround yourself with?

What is your vision for the coming year?

What does your ideal "Adventure Day" look like?

Quick, tell me an affirmation that your future self believes. (Don't think too hard about this) "I am...."

Who are you 3 favorite online influencers or authors?

Where are you in your life/entrepreneurial journey?

Untitled multiple choice field

W2 employee, dying to leave my job

Working remotely for someone else, and happy... for now

1099 or "Gig" employee looking for more stability

I'm "financially retired" and looking for new work opportunities

My own business is my main source of income

I own numerous businesses and am financially independent

Other

When you submit this form, you will be re-directed to Patrick Farrell's booking page. Please sign up for a 30-Minute Alignment call where we can learn more about each other and tell you more about Light Club.

This call will take place over Zoom. Be sure to show up for this call in a quiet place. Please do not take this call while driving.