Application for VIP Day with Dr. P

Interested in VIP Day with Dr. P? Fill out some info and we will be in touch shortly! We can't wait to hear from you!

Name

First Name

Last Name

What is your website or instagram link/handle. Write N/A if not applicable.

Identify wellness practices that you engage in at minimum 3x’s a week

In your own words, what is creativity? How do you think a VIP-Day with Dr. P can and will transform your project?

Describe your relationship to Creativity in less than 10 words.

Are you aware of the investment (starting at 4,500) and prepared to make it?

Yes via a payment plan

Yes and in full

No, not right now

Other

How did you hear about VIP-Days with Dr. P? If someone referred you, please share their name and email. I would like to thank them!

In less than 100 words, share the “why” behind your creativity project.