Thriving Leader

February 5-6, 2025

Nashville, TN

Thank you for your interest in our training + coaching program, Thriving Leader! To finish your registration process, please complete the form below.

First and Last Name *

Email *

Phone *

Organization *

Job Title *

Shirt Size *

Arrival Date *

Departure Date *

Specific Allergies, if any

Other Food Preferences (Listing preferred drinks, condiments, etc. helps us make the best experience possible.)

Accessibility Requests, if any

Wheelchair Accessibility

Service Animal

Visual Impairment - Large Text Requested

Hearing Impairment - Captioning Requested

Hearing Impairment - ASL Requested

Is there anything else we should know in order to provide you with an exceptional experience?

The 3Cs

These questions help us get to know you better to ensure your training + coaching experience is the best use of your time and yields results.

CLARITY

We define CLARITY as "knowing what I want, why it's important and how to get it."

In this section, weigh in on your level of clarity in life – both personally and professionally.

In my PERSONAL life, I know what I want to achieve. *

In my PERSONAL life, I know why the things I want are important to me. *

In my PERSONAL life, I know how to get the things I want. *

In my PROFESSIONAL life, I know what I want to achieve. *

In my PROFESSIONAL life, I know why the things I want are important to me. *

In my PROFESSIONAL life, I know how to get the things I want. *

CERTAINTY

We define CERTAINTY as "trusting myself, my abilities and the systems that surround me."

In this section, weigh in on your level of certainty in life – both personally and professionally.

In my PERSONAL life, I trust myself. *

In my PERSONAL life, I trust my abilities. *

In my PERSONAL life, I trust in the systems around me (e.g., family, community, church). *

In my PROFESSIONAL life, I trust myself. *

In my PROFESSIONAL life, I trust in my abilities. *

In my PROFESSIONAL life, I trust in the systems around me (e.g., the company, my manager, my team). *

CAPACITY

We define CAPACITY as "possessing the mental, emotional, and physical resources (e.g., abilities, time, energy, tools) to act with impact."

In this section, weigh in on your level of capacity in life – both personally and professionally.

In my PERSONAL life, I possess the mental resources to act with impact. *

In my PERSONAL life, I possess the physical resources to act with impact. *

In my PERSONAL life, I possess the emotional resources to act with impact. *

In my PROFESSIONAL life, I possess the mental resources to act with impact. *

In my PROFESSIONAL life, I possess the physical resources to act with impact. *

In my PROFESSIONAL life, I possess the emotional resources to act with impact. *

#THRIVETODAY Coaching Agreement

Coaching is a partnership (defined as an alliance, not a legal business partnership) between the Coach and the Client in a thought-provoking and creative process that inspires the Client to maximize personal and professional potential. It is designed to facilitate the creation/development of personal, professional or business goals and to develop and carry out a strategy/plan for achieving those goals. 1) Coach-Client Relationship A. Client is solely responsible for creating and implementing his/her own physical, mental and emotional well-being, decisions, choices, actions and results arising out of or resulting from the coaching relationship and his/her coaching calls and interactions with the Coach. As such, the Client agrees that the Coach is not and will not be liable or responsible for any actions or inaction, or for any direct or indirect result of any services provided by the Coach. Client understands coaching is not therapy and does not substitute for therapy if needed, and does not prevent, cure, or treat any mental disorder or medical disease. B. Client acknowledges that coaching is a comprehensive process that may involve different areas of his or her life, including work, finances, health, relationships, education and recreation. The Client agrees that deciding how to handle these issues, incorporate coaching principles into those areas and implementing choices is exclusively the Client’s responsibility. C. Client acknowledges that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association and that coaching is not to be used as a substitute for counseling, psychotherapy, psychoanalysis, mental health care, substance abuse treatment, or other professional advice by legal, medical or other qualified professionals and that it is the Client’s exclusive responsibility to seek such independent professional guidance as needed. If Client is currently under the care of a mental health professional, it is recommended that the Client promptly inform the mental health care provider of the nature and extent of the coaching relationship agreed upon by the Client and the Coach. D. The Client understands that in order to enhance the coaching relationship, the Client agrees to communicate honestly, be open to feedback and assistance and to create the time and energy to participate fully in the program. 2) Limited Liability Except as expressly provided in this Agreement, the Coach makes no guarantees, representations or warranties of any kind or nature, express or implied with respect to the coaching services negotiated, agreed upon and rendered. In no event shall the Coach be liable to the Client for any indirect, consequential or special damages. Notwithstanding any damages that the Client may incur, the Coach’s entire liability under this Agreement, and the Client’s exclusive remedy, shall be limited to the amount actually paid by the Client to the Coach under this Agreement for all coaching services rendered through and including the termination date.

I have read and fully understand the above agreement, and consent to the guidelines as outlined: *

Yes

Photo Release: By attending an MJST dba #thrivetoday training program, you gran t permission to be photographed or videotaped by MJST or its official photographer/videographer during the event. The resulting photographs or videos may be used by MJST for promotional purposes. By attending this event, you consent to such use without remuneration or the opportunity to inspect the use of any photograph or videotape.

I have read and understand my likeness may be used in photos or video taken at this or any #thrivetoday event. *

Yes

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