First Name
Last Name
Email
*
Phone
*
How did you hear about this retreat?
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Referral
Social Media
If accepted, what would joining the Leaders Create Leaders “Japan Epic Adventure” led by Gerard Adams mean to you? Why is this opportunity important to you in this season of your life?
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What is the #1 problem in your life that you're dying to solve?
*
What specific topics or activities are you interested in exploring during the retreat?
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Have you attended any previous retreats? If yes, please share your experience:
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Who are the people that will benefit the most from the time you give to this experience?
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Is there anything else you’d like us to know or any questions you have?
What is your average monthly revenue in USD?
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0-$10K
$10-$20K
$20K-$50K
$100K+
By submitting this application, I am seriously interested in participating in the Japan Epic Adventure and realize this comes with an investment of time, money, energy, and commitment?
*
Yes
No
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