Name *

First Name

Last Name

Phone/WhatsApp *

Country

(###)

###

####

Investment is a devotional choice, never a pressure tactic. Indicate which path your body can hold cleanly right now.

(You may adjust after acceptance if new clarity arises.)

Founder’s Lineage – $3,333 (10 × $355)

overeign Path – $4,444 (12 × $411)

Visionary Steward – $5,555 (15 × $395)

Community Equity Spot – $2,222 (briefly share why in the next field)

(Use check-boxes; all must be ticked to submit.)

Self-Responsibility: I understand that I am 100 % responsible for my physical, mental, and emotional well-being before, during, and after this journey.

Not Medical / Mental-Health Care: I acknowledge this container is spiritual-educational; it is not a substitute for licensed therapy, medical treatment, or advice.

Informed Participation: I enter voluntarily and may choose to pause or leave any exercise at any time, communicating my boundaries clearly.

Digital-Detox Agreement: I consent to phone-free retreat space (except emergencies) to protect the field. (If you have young children, you will have space in the mornings and evenings to communicate with them, this is true nourishment for your nervous system)

Financial Commitment: I agree that the $555 deposit is non-refundable and that full tuition (per the path I select) is due according to my payment plan.

Confidentiality & Respect: I will hold others’ shares as sacred and private, and I will honor all voices, identities, and experiences without judgment.

Media Release (optional): I allow group photos/video for archival & marketing purposes.

Date

MM

DD

YYYY