Form

ENERGIZE Retreat April 8-9, 2025 Registration

Email*

First Name*

Last Name*

Company name*

Phone Number*

Will you attend both days April 8 & 9, 2025?*

Yes

Will you attend the Pre-Retreat Mentoring & Reverse Mentoring Workshop for RADIATE Program participants and assigned mentors on April 8, 2025, at Hotel Adeline from 10:00 AM to 1:00 PM?*

Yes

Do you plan to participate in the community service project the day before ENERGIZE at the hotel, April 8, 2025, at 2pm?*

Yes

If you plan to participate in the community service project (specific project TBD), please provide your t-shirt size

Do you plan on attending the opening dinner on April 8, 2025 at 5:30pm?*

Yes

Do you plan on attending yoga April 9th at 7am by the pool?

Yes

Do you plan to attend the closing night dinner on April 9, 2025 at 6pm?*

Yes

Do you have any food allergies?

I consent to share my information with attendees*

Yes