Transformational Author Breakthrough – Prep Form Name First Last Email CountryPhoneAre you a published author?YesNoWhy did you choose to attend the Transformational Author Breakthrough?What EXCITES you most about attending?What SCARES you most about attending?What do you want/need to let go of?What are you stepping into? What are you ready to claim for yourself?What do you want to walk away with?What questions are you seeking answers to at the Breakthrough?Will you be staying for the closing celebration on Wednesday evening, September 25th? If not, when will you be leaving?YesNoIf you're not staying for the closing celebration, when will you be leaving?Are you interested in learning more about my 8-month “MasterHeart” program – where one of the many benefits is having your story published this May in my book series “Pebbles in the Pond: Transforming the World One Person at a Time” alongside me, Lisa Nichols and SARK?YesNoMaybeDo you have any medical issues we need to be aware of? If yes, please explain:Do you have any food allergies or sensitivities? If yes, please explain:Is there anything else you’d like me to know as we prepare to gather in Baltimore? This iframe contains the logic required to handle Ajax powered Gravity Forms.