The Elite Masculine Retreat Application (May 15 - 18)
Take a moment to complete this form for your chance to secure a spot in this exclusive men's retreat. Only 40 men will be selected. If you're ready to step into your power, this is your opportunity.
Sign in to Google to save your progress. Learn more
First and Last Name *
Phone Number *
Email Address *
Link your social media accounts. *
Which best describes you?
*
What do you struggle with the most?
*
Do you tend to overthink and doubt your decisions?
*
What is the biggest bottleneck you currently have when it comes to your leadership and WHY does it need to be solved? *
Are you coachable and ready to change? *
How did you come about finding this retreat? *
The retreat will be on May 15-18th, 2025 in Warrensburg, NY. Can you make this commitment for the 4 days? *

The investment for this elite 4-day immersion is $3,000 USD, which covers all meals prepared by top-tier chefs, cabin-style lodging, and intensive masculine leadership training designed to transform you from the inside out.

This experience is not for everyone—only 40 men will be selected. If you are chosen, are you fully committed and in a financial position to secure your spot immediately?

*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of JakeWoodard.

Does this form look suspicious? Report