Breakthrough Weekend Assistant Sign-up
Please fill out this form in its entirety and submit an assistant fee of $30.00 by Friday night of the course. This covers your meals for the Weekend and can be paid via venmo, cash, check, or paypal!
Have you purchased a new T-Shirt/Tank/Hoodie?
They are not required, but highly encouraged! (they are soft and awesome)
First and Last Name
Name on Name Tag
Preferred Pronouns on name tag (optional)
Course you are signing up for:
Date of Birth (MM/DD/YYYY)
Full Mailing Address
Have you assisted before?
If you have only assisted at other centers, please list which ones:
What are your food preferences?
I will bring my own specialty food.
*We will do our best to provide a variety of food options, but to take the best care of yourself it may be in your best interest to bring your own meals/snacks.
I understand, and will take care of myself accordingly.
All boxes must be checked in order to assist.
I will be present for the whole weekend.
I will be on time to all assistant meetings for the entire weekend.
I will read my emails and be aware of what is expected of me as an assistant.
I will refrain from drug or alcohol use for the entire weekend.
I will bring my own water bottle and snacks to nourish myself.
I will dress in business casual attire on Friday night.
I will wear my Breakthrough shirt on Sunday.
I will wait 30 days after the course to enter into any new romantic relationships with someone else from the course.
I give the Community for Personal Development Inc the right to use any photos and videos taken at the weekend without compensation
For first time assistants only: I will be attending the First Time Assistant Meeting on Monday, November 25th from 6:00-7:30pm at 808-B NW 16th Ave Gainesville, FL 32601
For all assistants: I will be attending the Final Assistant Meeting on Wednesday, December 4th from 6:00-8:00pm at location TBA.
I will not be able to attend, and I understand that I am responsible for all information missed
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