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LeaderUp

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Application form

Name & surname*

Email*

Phone number*

City and country of residence*

What's your current job?*

Which retreat(s) would you like to attend?*

October 2025

February 2026

May 2026

Other

How would you describe your current stress levels?*

Low

Moderate

High

Very high

What are the 2 or 3 emotions you’ve been feeling most often lately?*

What’s motivating you to join this retreat?*

What would you like to feel by the end of the retreat?*

How did you hear about LeaderUp?*

Social media

Personal recommendation

Website

Email

Other

Do you have any questions or anything else you’d like to share with us?

Thanks for signing up!

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