Membership Application
To apply for membership please complete all questions.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Cellular Number
*
Format: (000) 000-0000.
Website
if applicable
What business stage are you in? Ex. Beginner, rebuilding, scaling.
*
What kind of support are you looking for?
*
What is a block for you when it comes to business?
*
Are you willing to commit financially to 6 months of growth? $88/month
*
Signature
*
Signing Date
*
-
Month
-
Day
Year
Date
1. What best describes where you are in your business right now?(Multiple choice – choose one)
I’m in the early stages and clarifying my direction
I have an offer but feel unclear or inconsistent
I’m actively selling but want more alignment and steadiness
I’m established and refining my visibility and expressionOther (short answer)
Other
2. How long have you been actively working on or building your business?
Less than 1
year1–3
3–5 years
5+ years
3. What are you currently focused on most in your business?
Clarifying my offerVisibility / being seen
Consistency and follow-through
Nervous system regulation / burnout recovery
Income stabilityCreative expressionOther
Other
4. How do you currently feel about visibility in your business?
I feel fairly comfortable being visible
I can be visible, but it costs me a lot energetically
I feel inconsistent or hesitant around visibility
Visibility feels activating or overwhelming
I avoid visibility even though I want growth
5. What tends to come up for you when you think about being more visible? Fear, excitement, resistance, pressure, self-doubt, neutrality—anything is welcome.
6. Which best describes your current visibility rhythm?
Consistent and sustainable
Consistent but draining
Inconsistent and frustrating
Mostly paused or avoided
I’m rebuilding my relationship with visibility
7. Have you engaged in inner work, reflection, or somatic practices before?
Yes, consistently
Yes, occasionally
A little, but I’m newer
Not formally, but I’m open
11. What kind of support are you most seeking right now? Clarity, accountability, witnessing, regulation, momentum, confidence, structure, or something else.
12. What would make this container feel supportive and successful for you?
14. Is there anything else you want me to know as you consider this space?
Apply for Membership
Apply for Membership
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