Clear Life Reset Application

Clear Life Reset Application

Please complete this application for the Clear Life Reset. Answer all required questions and review the confidentiality agreement carefully before signing.
Event Time & Place

August 8th, 2026 9:30AM - 7:30PM EST
Application Deadline

August 2nd, 2026 11:59PM
First and Last Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Why is gaining clarity important to you in this season?
What have you already done to work through this issue?
What has kept you from moving forward?
Are you prepared to participate fully in personal reflection, group discussion, and guided exercises?
What would become possible in your life if you gained the clarity you desire?
What do you believe you may need to confront, release, or change in order to move forward?
Are you willing to arrive on time and remain fully present, including limiting unnecessary phone use?
The retreat is free, but space is limited. Why should a seat be invested in you at this time?
When you receive clarity during the retreat, what are you prepared to do with it afterward?
If accepted, are you able to attend the entire retreat from beginning to end?
What do you hope to contribute to the retreat environment?
How do you typically respond when someone offers a perspective that challenges your own?
Are you comfortable respecting the privacy and confidentiality of other attendees?
What would make this retreat feel meaningful and successful for you?
How would you describe your current spiritual season?
This retreat will include Christian principles, prayer, and biblical reflection. Are you comfortable participating in that environment?
What role, if any, does faith play in the area where you are seeking clarity?
What could prevent you from attending or participating fully?
Is there anything about your current circumstances that the retreat team should know in order to support you well?
Please let us know of any dietary restrictions
Confidentiality Agreement and Consent
I understand that participants may share personal and sensitive experiences during the Clarity Retreat. If accepted, I agree not to disclose, record, post, or share another participant’s story or identifying information without their permission. I may discuss my own experience and personal takeaways, but I will protect the privacy of everyone in attendance.
I have read and agree to the confidentiality agreement above.
Signature
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Clear Life Reset Application

Event Time & Place

Application Deadline

Confidentiality Agreement and Consent