JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Artistic Rebirth Mastermind Application
Fill out this form to apply for the Artistic Rebirth Mastermind with Joy Prouty.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First and Last Name
*
Your answer
Email Address
*
Your answer
Instagram Handle
*
Your answer
Phone Number
*
Your answer
I would love to have a consult call with you! What time zone are you in and what time/day works for you for a short conversation?
*
Your answer
What does Rebirth mean to you?
*
Your answer
Are you willing to show up to this Mastermind as the most authentic version of yourself?
*
Yes
No
Other:
Are you willing to see and be seen by other women that are on the same path home to themselves?
*
Yes
No
Maybe
How do you see or hope to see yourself at the end of this 6 month Mastermind?
*
Your answer
The Artistic Rebirth Mastermind will be an investment of time, finances and applying your whole heart to this work. Are you ready for this investment?
*
YES! I am fully in!
I think so but I need a bit more information
I'm not quite ready but would like to be
I am not at all in a place to be able to invest
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Joy Prouty.
Report Abuse
Forms
