MOTM Weekend Application Retreat

🔹 BASIC INFO

Full Name:

Preferred Name:

Age:

Email:

Phone

Address (City, State, ZIP)

🔹 TRAVEL DETAILS

Closest Airport You Plan to Use (select one):

Chattanooga (CHA)

Atlanta (ATL)

Not sure yet

Will you need assistance coordinating a carpool from the airport?

Yes

No

🔹 HEALTH + SAFETY

Do you have any medical conditions, dietary needs, or physical limitations we should know about?

Yes

No

If yes, please explain briefly:

Are you currently taking any medications we should be aware of in case of emergency?

Yes

No (Optional to disclose)

🔹 CONNECTION + INTENTION

These questions aren’t graded—they’re for depth, not perfection. Be real.

1. What drew you to this experience?

2. What’s a challenge you’re currently facing?

3. What are you hoping to gain from this weekend?

4. What do you believe makes a powerful man today?

5. Anything else you’d like us to know about you?

🔹 WAIVER + AGREEMENT

Multi choice

I understand that this is an immersive, physically active, and emotionally engaging experience. I’m attending voluntarily and take full responsibility for my participation. I release organizers from liability for personal injury, property damage, or loss.

I understand that retreat fees are non-refundable but may be transferable if cancellation occurs 30+ days before the event.

I acknowledge that any inappropriate, disrespectful, or disruptive behavior will result in removal from the retreat without refund.

Signature

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Date picker

🔹 NEXT STEPS

If accepted, you’ll receive a confirmation email with your welcome packet, gear checklist, and payment link.

⚡ Pay by August 15 to receive the $200 discount

💥 Limited to a select group of men—don’t wait.

Need help or have questions?

📧 Reach us at info@capstoneatlanta.com

MEN ON THE MOVE

September 11–14, 2025 | Blue Ridge Mountains

APPLICATION FORM

This retreat isn’t for everyone—and that’s by design.
We’re curating a community of purpose-driven men ready to level up.
If that’s you, we want to hear your story.

​

MEN ON THE MOVE

September 11–14, 2025 | Blue Ridge Mountains

APPLICATION FORM

This retreat isn’t for everyone—and that’s by design. We’re curating a community of purpose-driven men ready to level up. If that’s you, we want to hear your story.

This retreat isn’t for everyone—and that’s by design.
We’re curating a community of purpose-driven men ready to level up.
If that’s you, we want to hear your story.