VetX:Leaders Registration Form

Application Form

VetX:Leaders is an exclusive training and coaching group for veterinary leaders who are serious about growing the business in a fair, sustainable and fun way. We will assess your application and of your suitability for this group. Entry is by no means guaranteed. Please provide all details to register your interest. We will get in touch to arrange a call with one of our community engagement specialists closer to the opening date.
Applicant Name*

First NameLast Name
Practice Name*
Contact Number*

Country CodeArea CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Practice*
Current Annual Revenue*
How long has your practice been operating?*
How large is your team?*
What is the biggest challenge you need to overcome in you role as a leader?*
How did you hear about VetX:Leaders?*
Are you the chief financial decision maker *
Admission Prerequisites

VetX:Leaders is not about money, it's about helping you to succeed. To have success, it's 100% necessary to trust the process, ask for help if you get stuck and be willing/able to put in the work needed. If you are not able to do this, then this class is not going to be right for you at present and we will not accept your application. Please confirm by answering yes in each box below.
I am willing to show up to each session and do the work needed to succeed.
I will ask for help when I get stuck, I will not just give up.
I am happy to share my learnings with the rest of the group to inspire and help others
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Application Form

Admission Prerequisites