Apply Here

Full Name*

First NameLast Name

Name Tag

Preferred First Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Confirmation Emailexample@example.com

Mobile Number*

Country CodeArea CodePhone Number

Best Way To Contact Me*

EmailPhoneTextOther

Date of Birth*

MonthDayYear

Which of the following describes the gender with which you identify?*

FemaleMaleOther

Marital Status*

SingleMarried/PartnersSeparated/DivorcedOther

How did you hear about the LifeApp 3 Day?*

If someone you know told you about the program please provide their first and last name

Referred by...

First NameLast Name

Other

What do you hope to accomplish by participating in the LifeApp 3 Day?*

Select the 3 Day retreat dates you would like to attend.*

Note that we cannot guarantee a space until your application has been processed.

Application & Acceptance Process*

I have read, understand, and agree to the Application & Acceptance Process

WAIT: YOUR REGISTRATION IS NOT COMPLETE! Immediately following submission of your Application, you will receive an automatic email with next steps. Be sure to check your junk/spam email folders for this email AND respond according to how you'd like to fund your retreat. The email will detail payments options for the retreat.

*Retreat size is limited, and payment in full does not guarantee a seat at the retreat. If the retreat is at capacity you will be placed on a waitlist.

100% Money Back Guarantee*

I have read, understand, and agree to the terms of the Money Back Guarantee

We’re confident that the LifeApp 3 Day Experience will bring lasting value to your life. However, if for any reason you feel it hasn’t, we stand by our promise:

If you attend and fully participate in the entire 3 Day retreat and feel you did not receive value from your experience, we will refund 100% of your registration fee—including meals and accommodations—no questions asked.

To qualify, refund requests must:

Be submitted in writing within 48 hours of completing the retreat.
Confirm that you attended and fully participated in all three days of the program.

We make this guarantee because we believe deeply in the transformational impact of the LifeApp 3 Day—and we want you to feel completely confident in your investment.

Terms and Conditions*

I have read, understand, and agree to Terms and Conditions

The LifeApp 3 Day self-discovery retreat is based on an education model, not a medical model. It is our hope that attending the LifeApp 3 Day will result in significant positive personal growth for you.

During the LifeApp 3 Day experience, we are presenting just that, an experience in self-awareness and personal growth - not a treatment regime. The program may be stressful for some, and we do not presume or assume that we know what is best for any potential participant.

We recommend that if you have a history of psychiatric disorder, have been institutionalized for mental illness in the last 12 months, and/or are currently in treatment with a psychologist, psychiatrist, physician, or counsellor you may want to consult your professional concerning your attendance in the program.

Participant Acknowledgement*

I have answered all questions truthfully, and I have read, understand and agree to all policies contained within.

Signature

LifeApp | 3 Day Application