SayPro Personal Development Registration Form

Please complete this form to register for the SayPro Personal Development Retreat. Your responses will help us tailor the retreat experience to your needs.

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1. Personal Information

• Full Name: ______________________________________
• Email Address: __________________________________
• Phone Number: __________________________________
• Date of Birth: ___________________________________
• Gender (Optional): ☐ Male ☐ Female ☐ Other ☐ Prefer not to say
• Country & City of Residence: ______________________

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2. Professional & Educational Background

• Current Occupation/Job Title: _______________________________
• Company/Organization (if applicable): _______________________
• Educational Background:
  ☐ High School
  ☐ Some College/University
  ☐ Associate Degree
  ☐ Bachelor’s Degree
  ☐ Master’s Degree
  ☐ Doctorate
  ☐ Other: ________________________

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3. Personal Development Goals

• What are your top three personal development goals for this retreat?
• Which areas of personal growth are you most interested in? (Check all that apply)
  ☐ Leadership Skills
  ☐ Emotional Intelligence
  ☐ Mindfulness & Stress Management
  ☐ Communication & Public Speaking
  ☐ Confidence & Self-Esteem
  ☐ Time Management & Productivity
  ☐ Work-Life Balance
  ☐ Goal-Setting & Motivation
  ☐ Personal Growth & Self-Awareness
  ☐ Other: ____________________________________

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4. Experience & Expectations

• Have you attended a personal development retreat before?
  ☐ Yes ☐ No
• What do you hope to gain from this retreat?
• How do you prefer to learn?
  ☐ Interactive Discussions
  ☐ Hands-on Activities & Exercises
  ☐ Self-Reflection & Journaling
  ☐ Group Work & Collaboration
  ☐ Other: ________________________

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5. Special Requirements & Additional Information

• Do you have any dietary restrictions or special needs?
  ☐ None
  ☐ Vegetarian
  ☐ Vegan
  ☐ Gluten-Free
  ☐ Other: ________________________
• Do you have any accessibility requirements? ☐ Yes ☐ No
  If yes, please specify: ________________________________________
• Any additional information or requests?

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6. Agreement & Commitment

☐ I confirm that all information provided is accurate.
☐ I commit to actively participating in all retreat activities.
☐ I understand that this retreat is a learning and self-improvement experience, and I will approach it with an open mind.

Signature: ___________________________ Date: ______________

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Submit Your Registration Form

📩 Email: [Insert SayPro Email]
🌐 Online Submission: [Insert SayPro Link]

Thank you for registering! We look forward to supporting you on your personal development journey. 🚀