IMPORTANT: Please read this before filling out the application.

Is this really for you?

The Balanced Man Retreat is for men who are ready to create lasting change—mentally, physically, emotionally, and spiritually.

This experience is only for those willing to show up fully, do the inner work, and invest in themselves.

If that’s you, we’re looking forward to connecting and learning more.

Is this you? *

Yes, I'm in!!

No, this is not for me.

The Balanced Man Application

Take a moment to complete this short application.

Then, be sure to schedule your Zoom call, this is a key part of the process. Your call ensures we align on goals and confirm this retreat is the right fit for where you are in life.

Secure your spot now and take the next step toward becoming the man you were meant to be.

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 ever invested in a program or experience for personal growth? *

Yes

If "Yes" please share which programs you have attended.

What motivated you to apply for The Balanced Man Retreat? *

Personal Growth

Stress Relief

Emotional Healing

Relationship Issues

Physical Fitness

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.

What’s one thing you’ve been avoiding or procrastinating that you know you need to face? *

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

1 ( Low Commitment )

5 ( Highly Committed )

Dates: What is your preferred retreat date? *

May. 17-24, 2025

August. 16-23, 2025

How Did You Hear About The Balanced Man Retreat? *

Online Search

Social Media

Friend

Family Member

Newsletter

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 book your Zoom call with a Team Member to finalize your application.