Getting to know more about you is crutial for you to ensure that you are a good fit for this club and for us to be able to cater to your needs to the best of our capacity.

Personal Information

Who nominated or invited you to the Club? *

Social Media Handles

Club Alignment & Interest

Connection to Self

Connection to Nature

Connection to Others

In Touch with the Sacred

Professional Growth

Personal Growth

Exclusive Experiences

Human Connection

New Inspiration

Valuable Introductions

Business Partnerships

other

Lifestyle & Interests

Other Wellness Practices

Other Dietary Preferences

Engagement & Participation

international

local

both

Are there specific industries or fields you’re interested in exploring through the club? *

Very Important

Somewhat Important

No so important

Not important at all

Feedback & Expectations

Are you currently a member of any other clubs or organizations? If so, which ones? *

Submit For Consideration