VIP Day Application Form (Half-Day or Full-Day)

VIP Day Application Form (Half-Day or Full-Day)

Your Day, Your Breakthrough
A VIP Day is focused, transformational time devoted entirely to you. Whether you choose a Half-Day or Full-Day, you’ll walk away with clarity, direction, and a personalized roadmap for your next chapter.

This short application will help me understand your priorities so I can ensure your VIP Experience is designed just for you.

👉 Complete the form below to apply for your VIP Day.
Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
About You
Which VIP Experience are you most interested in?*

Half-Day (3–4 hours)Full-Day (5–6 hours)Not sure yet
What motivated you to apply for a VIP Day?*
What’s the biggest challenge you’re facing right now as you think about your next chapter?*
What would you most love to walk away with at the end of your VIP Day?*
Commitment & Readiness
VIP Days are an investment of both time and resources. On a scale of 1–10, how ready are you to commit to yourself right now?(1 = not ready, 10 = absolutely ready)*
Which statement best describes you?

I’m ready to invest in myself and take action nowI’m curious, but I’d like to learn more firstI’m not sure if I’m ready yet
Should be Empty:

Contact Information