Full Name *

Email *

Phone

Are you a Grounded Member? *

Have you participated in any of Grounded's Live Events? If yes, which ones? *

Where do you currently live? *

Where do you want to live? *

Why do you want to live at our Regenerative Living Hub? *

What sort of time frame do you want to live here? *

What is your weekly budget for rent? And what do you want for that price? *

What is your current occupation? Do you work or study from home? *

Any other info you want to share? *

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