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Please Watch This Entire Video BEFORE Applying

Date With Destiny Virtual - December 2nd - 7th - Application Form

Date With Destiny is Tony Robbins' most intimate event – an event where you will discover the depths of your inner self. Where you'll learn what really makes you tick – what drives your behaviors, thoughts, decisions, and emotions.

Date*
MM slash DD slash YYYY
Name*
First Last
Email*
Phone*
Address
Street Address City State / Province / Region ZIP / Postal Code
Why Are You Interested In Participating in Date With Destiny?*
What is Going Great in Your Life Today?*
What are the top 3 personal goals that you MUST achieve in the next year?*
Why is it a MUST for you to meet these personal outcomes?*
What are the top 3 things holding you back from achieving those goals?*
What are 3 characteristics you admire / respect most in yourself or others?
Top 3 Strengths of your business?*
Top 3 issues / problems with your business?*
Participation*
I agree to participate fully and be physically, emotionally, and mentally present at the Haven Real Estate Group Spokane Office for the entirety of the event.
- Yes, I am READY to Fully Participate
- No, I am NOT ready at this time
Preparation*
I agree to prepare my life, my family, and my business for the fact that I will be completely unavailable from the dates of Friday, Dec 2nd through Wednesday, December 7th, so that I have NO distractions.
- Yes, I commit to being fully prepared
- No, I am NOT able to prepare in advance
Being Fully Engaged*
Tony will be asking you to physically MOVE around. Additionally, Tony will be encouraging you to share deeply personal and sometimes traumatic experiences you may have gone through in the past. This allows a pathway for you to powerfully heal and gain strength from those experiences. If you are unwilling to be authentically vulnerable amongst your peers, this would not be the program for you to attend. And, given that we are limited with the number of people that can participate, I would request that you sit this out.
- Yes, I am willing to be vulnerable and authentic
- No, I am NOT able to do this in front of my peers
Phone
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