The Balanced Man Application

Please take a moment to answer a few questions (it only takes 3 minutes) to see if we're a good fit. If accepted, we’ll schedule a call to discuss your journey and how The Balanced Man program can support you. We look forward to learning more about you, your background, your goals, and what brings you here. Thank you for sharing this with us.

First Name *

Last Name *

What is your current occupation and professional background? *

Entrepreneur

Business/Corporate

Healthcare/Medical

Trades/Construction

Education

Arts/Entertainment

Technology

Have you attended any men's retreats or personal development programs before?

Yes

If "Yes" please share which retreats or personal development programs you have attended.

What motivated you to apply for The Balanced Man Retreat?

Personal Growth

Stress Relief

Physical Fitness

Emotional Healing

Spiritual Growth

Other

If you answered "Other" let us know why

What are the main challenges or issues you are currently facing in your life that you hope to address at the retreat? *

Stress and Overwhelm

Work-Life Balance

Relationship Issues

Lack of Direction

Addiction Issues

None, I feel great

Other

If you answered "Other", please share so we are aware and can help support.

Mindset and Commitment: Are you open to participating in all aspects of the retreat, including physical, mental, and emotional activities? *

Yes

Retreat Commitment: How committed are you to making positive changes in your life? *

1 ( Low Commitment )

5 ( Highly Committed )

Please share a little bit about yourself ( hobbies, goals, passions, struggles ), this way we have an insight into your current journey. *

Dates: What is your preferred retreat date? *

December. 7-14, 2024

February. 8-15, 2025

May. 17-24, 2025

How Did You Hear About The Balanced Man Retreat? *

Online Search

Social Media

Newsletter

Friend

What is your email?

Make sure you don't type your email incorrectly so we can confirm your application.

Email *

What is your contact number?

Make sure you don't type your number incorrectly so we can confirm your application

Phone *

We Are Done Here!!

Hit "Submit" to join The Balanced Man Brotherhood!