Welcome! Please read this first:

Thank you for your interest in The Embodied Sexual Leadership Retreat.

This application will take about 10–15 minutes to complete. Take your time and answer each question thoughtfully and honestly. Treat this as an opportunity to reflect on where you are right now, what you're ready to change, and what you're truly committed to stepping into as a man.

All responses are confidential, and will only be used to ensure the men who gather are aligned in maturity, integrity, and readiness for this level of work.

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* 1. Full Name

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* 3. Phone Number

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* 4. City / State / Country

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* 5. Age

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* 6. Occupation / Primary Focus in Life

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* 7. How did you hear about this training?

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