THE BLACK TIER — APPLICATION

1

Full Name* This field is required.

First Name

Last Name

2

Instagram Handle / Website* This field is required.(So we can review your positioning and brand)

3

What best describes your current role?* This field is required.

Clinic owner

Clinic owner + injector

Trainer / educator

Multi-location owner

Other

4

How long have you been in business?* This field is required.

5

What is your current average monthly revenue?* This field is required.(Please be accurate — this helps us assess fit)

£5k–£10k

£10k–£20k

£20k–£40k

£40k+

6

What is currently limiting your next level of growth?* This field is required.(Be specific. “Time”, “team”, or “marketing” alone is not enough.)

7

Where do you feel your business is currently constrained by you?* This field is required.(Decision-making, delivery, systems, leadership, pricing, visibility, etc.)

8

Why is now the right time for you to operate at a higher level?* This field is required.(What has shifted, or what are you no longer willing to tolerate?)

9

What would make the next 12 months a success for you?* This field is required.(Think outcomes, not tasks.)

10

What have you already tried to resolve this challenge?* This field is required.(Mentors, programmes, consultants, self-study, etc.)

11

On a scale of 1–10, how committed are you to making meaningful changes in your business this year — even when uncomfortable?* This field is required.

12

If accepted, are you able and willing to invest £8,997 for a 12-month private mastermind?* This field is required.(If no, this is not the right time.)

Yes

No

13

Why do you believe you are a strong fit for The Black Tier?* This field is required.(This is about alignment, not validation.)