Register for Amplify TodayTo register your interest please complete the form below and we will be in touch with next steps. Please take a couple of minutes to fill out your registration below. Name * First Name Last Name Email * City & Country * What would you say is your main intention for joining? * Which area of your life would you most like to receive support in? * How do you typically get in your own way? (sabotage your own happiness) * Who do you consider your main support person in life? * What do you feel holds you back most in your goals? * Have you participated in personal growth environments before? Have you worked with Nick in any capacity before? If so, when and where? Do you have any medical conditions or requirements we should know about? If yes, please elaborate on this. Thank you so much for registering your interest in the Amplify membership. We will be in contact once we have read through your application.