LEAP Intensive Registration X/TwitterThis field is for validation purposes and should be left unchanged.Your confirmation email will include additional information about the program.Name(Required) First Last Email(Required)We never sell or share your personal data. Your personal information will be used to process your order and support your experience while using this website. Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone (Optional)In this program, please realize, energy changes can be subtle, they can be something that becomes so normal, you don’t realize things have changed. Participants find that writing down a focus for the Intensive as they register can help them see how they might be shifting in their life during the LEAP Intensive.Your Focus for the LEAP Intensive is:We keep these answers confidential. They are for your own process. At the end of the LEAP Intensive program, we do ask you (if you wish) to talk with us about how you’re doing. Of course, we are always open to questions between now and then. Just email us on the contact form and we’ll get in touch with you.Important: Tell us how you heard about us.(Required)Upload photoA current photo of you is required to complete your registration. (Please, have it be a photo in which you are the only one in the photo.) If you need help, email us. Max. file size: 3 MB. Please check this box if you have not been diagnosed (self or medical) with bi-polar disorder.(Required) I have not been diagnosed (self diagnosed or medically diagnosed) with a bi-polar disorder. Which are your preferred days?These are the available dates in January. Please choose your most preferred dates. We’ll get back to you regarding which actual dates will be yours. This depends on how many people sign up. Yes, first come, first served. For more information or questions, please contact us using the Contact Form. Jan 12-13, 2026: Monday and Tuesday Jan 15-16, 2026: Thursday and Friday Jan 19-20,2026: Monday and Tuesday Jan 22-23, 2026:, Thursday and Friday Need help? Click here to Contact UsProduct NameCoupon CodeHave a coupon? Enter the coupon code below. If you use the coupon, skip down to the Submit button. Total Credit Card Δ