Kultiv8 Program Application

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Business/Organization Name*

Title/Role*

Years in Operation?*

What is your biggest current leadership or organizational challenge?*

What do you hope to gain from Kultiv8?*

How did you hear about Kultiv8?*

Kultiv8 Program Terms & Conditions

By submitting this application, I acknowledge and agree to the following:

Program Commitment

I understand that Kultiv8 is a 15-week leadership and brand development program, and I am committed to actively participating in and completing the program in full.

Accuracy of Information

I affirm that all information provided in this application is accurate and complete to the best of my knowledge.

Non-Refundable Deposit

I understand that a non-refundable deposit is required to secure my place in the program. This deposit will be applied toward the total program investment.

Program Fee

I understand that the full program fee is non-refundable once payment has been made, regardless of participation or completion status.

Transfer & Substitution Policy

Program participation may not be transferred or substituted without prior written approval from Prymel Elements.

Use of Information

I consent to the use of my information for communication related to the Kultiv8 program and its associated events.

Acknowledgment of Understanding

By signing below, I acknowledge that I have read, understood, and agree to these terms and conditions in full.

Signature*