Activation One Day Experience

Submit the information below prior to your VIP experience.

Name

First Name

Last Name

What is your intention for your Activation One Day Experience?

Would would you like to let go of, create, or accomplish in the next 100 days?

What are you tolerating that is blocking you from achieving your goal stated above?

What would make your Activation One Day Experience an extraordinary day?

How will you measure the success of your Activation One Day Experience?

What beverages and snacks do you enjoy?

Do you have any dietary restrictions? If so, please list.

Do you have any movement/physical limitations? If so, please list.

What else, if anything would you like me to know prior to your Activation One Day Experience.