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Registration form

Let's start with your personal details

Where do you work?

How long have you been in leadership or business? (multiple choice)

1-3 years

3-5 years

5-10 years

10+ years

What is the biggest challenge or limiting belief holding you back right now?

What breakthroughs, skills or transformations are you seeking from this mastermind?

On a scale of 1-10, how ready are you to do deep inner work and remove limiting neural programmes? (scale 1 "not so much" -10 "I'm all in")

Section 4: Commitment & Fit

This is a Spirit-led mastermind. Are you open to integrating faith and neuroscience in your transformation?

Section 4: Commitment & Fit

Yes, absolutely

I'm open and curious

I'm unsure

Can you commit to attending all 3 days of the live mastermind?

Yes, I can commit

I may need to miss part of a session

I'm not sure yet

How did you hear about this mastermind?

What country do you live in?

What are your top 3 reasons for doing this course?

What level are you applying for?

VIP Immersive Experience $3995

Professional Certification Experience $2995

Alumni Activation Rate $595

Section 5: Payment

Your application is only complete with your $100 deposit (this is fully refundable if your application is not accepted). Acceptance is at the sole discretion of Simone Leslie and staff and will be determined by your responses, group dynamics and numbers.