Name *

First Name

Last Name

Please check all that apply: *

Do you lead a team?

Are you a Director level or above?

Do you run an established business?

Can you commit to attending 75% of our monthly gatherings? *

Yes

No (If no, kindly save your seat for someone who can)

Are you raising a family and leading in your home? *

Yes

No

Do you have schedule autonomy? *

Yes

No

Did you attend the 2025 Helm Summit? *

Yes

No