Retreat Application - Elevate with Keri

What name do you prefer to go by? *

First

Last

What is the best email address in which to reach you? *

What about your IG handle (if applicable) and phone number? *

What do you do for work? Why do you do this? *

What is your annual income? *

Complete this sentence... "If you really knew me you would know________". *

Can you relate to any of the following statements? (Select all that apply): *

'Made for More' is a transformational retreat that was created to help you achieve even more power, peace & prosperity. This experience will surround you with other successful female leaders so you can experience a massive shift in an intentional environment. Are you this woman? Why? *

What would you like to achieve by joining this experience? *

What do you think is REALLY holding you back from everything you desire? *

Do you have a support system in your life that can help you when you are triggered and challenged? *

How do you generally deal with difficult sensations and emotions? *

Why is now the time for you to invest in this type of transformation? *

Have you ever invested in a retreat or group program experience before? If so, what was the name of the program and the total investment? *

Have you done any trauma work in the past? Please share any work you have completed in trauma and/or somatic experiencing. *

Why should Keri choose you as one of her clients? *

If you were to look back 6 months from now and say “Working with Keri was the best decision I ever made…” What needs to have happened? *

If offered a spot, you will be asked to make the payment within 24 hours. Is this something that you are able to do? *

How did you hear about 'Made for More' and Keri's work? *

Is there anything else you'd like to share with Keri? *

RETREATS

WITH KERI FORD

Submit an application, & let’s make sure it’s the right fit.

This retreat is $10,000 USD.

JOIN THE VIP LIST