Backbeat Retreat Application
Your name *
Store name *
City & state *
Email address *
How many years has your store been in business? *
Select one
0–1 years
2–5 years
6–10 years
11–20 years
20+ years
What is your role in the business day-to-day? *
How did you come to own the store?
Select one
I founded it
I purchased an existing store
I inherited it
Other
If "Other", tell us more
Approximate annual revenue range
Select one
Under $250k
$250k–$500k
$500k–$1M
$1M–$3M
Over $3M
Prefer not to say
How many locations do you operate?
Select one
1
2
3–5
6+
Approximate team size
Select one
1–5
6–10
11–20
20+
How many years have you personally been running the store?
What are you most proud of in your business right now?
What feels most challenging in your business right now? *
Why are you interested in attending Backbeat Retreat? *
If the retreat is a success, what would you like to walk away with? *
Where do you feel most stuck or in need of perspective?
What perspectives or experiences do you feel you can contribute to the group?
Are you willing to fully participate, share openly, and respect the group container? *
Select one
Yes
No
Do you agree to keep what’s shared in the room confidential? *
Select one
Yes
No
Are you prepared to make the financial investment if accepted? *
Select one
Yes
I’d need to discuss timing
No
How did you hear about Backbeat Retreat?
If someone referred you, who?
Optional — link to a short video introduction (if you’d like)
Work phone
Cell phone
Optional — anything else you'd like us to know?
Submit Application