First Name *

Last Name *

Email *

Social Media Links (Give us at least one active platform) *

Do you have a website? Please share the URL:

Where are you traveling from? *

Tell us about your business:

What do you do, who do you help, and how long have you been in business?

Which best describes your current stage? *

I’m generating steady revenue and ready for next-level growth

I’m growing quickly and need stronger support / strategy

I’m established but feeling stuck or isolated

I’m pivoting / refining and ready for a fresh chapter

Other

What is your biggest business focus right now? *

Revenue growth

Visibility / marketing

Offers / pricing

Partnerships / collaborations

Systems / sustainability

Confidence / leadership

Scaling support

Clarity / direction

Why does this retreat feel interesting or important to you right now? *

What would make this retreat a massive win for you?

Are you interested in payment plan options?

Yes

Maybe / want details

If accepted, how ready are you to move forward?

Ready now

Very interested, need details

Interested, need payment options

Exploring / curious

Not sure yet

We personally review every application and aim to respond within 48 hours. Please add [email protected] to your safe sender list and check spam/junk folders for updates. If email goes missing, we may follow up via social media. You’re also welcome to connect directly with Jennifer Jayne on Instagram or Facebook. *

Understood! I’ll watch for communication from [email protected] and check spam/junk folders.