Name *

First Name

Last Name

What time would work on MONDAYS (please select all that apply): *

6-8 AM (pacific)

8-11 AM (pacific)

12-4 PM (pacific)

5-7 PM (pacific)

What time would work on TUESDAYS (please select all that apply):

6-8 AM (pacific)

8-11 AM (pacific)

12-4 PM (pacific)

5-7 PM (pacific)

What time would work on WEDNESDAYS (please select all that apply):

6-8 AM (pacific)

8-11 AM (pacific)

12-4 PM (pacific)

5-7 PM (pacific)

What time would work on THURSDAYS (please select all that apply):

6-8 AM (pacific)

8-11 AM (pacific)

12-4 PM (pacific)

5-7 PM (pacific)

What time would work on FRIDAYS (please select all that apply):

6-8 AM (pacific)

8-11 AM (pacific)

12-4 PM (pacific)

5-7 PM (pacific)

The Entrepreneur Mastermind Group will meet weekly by video conference. I am committed to participating fully in each session, and maintaining the confidentiality of the other group members. I understand this is a paid program of $1,500 for 3-months. At the end of 3-months, if invited to continue, I understand that I will have the option to continue or conclude my Entrepreneur Mastermind Group experience. *

I agree

I disagree