BRAVE Challenge Entry Form

B.R.A.V.E. Challenge Kit Order Number*

Enter the order number from your B.R.A.V.E. kit purchase.

If you have not ordered your kit yet, go here

What Date would you like to start your Challenge?*

Enter the day you will start your 90 day challenge here.

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Please enter a valid phone number.

Pick a Challenge*

Weight LossFitnessHealth

What is the category you would like to compete in?*

Solo MaleSolo FemaleCouple (2 people)Team (Up to 10 People)

Team, Couple or Individual Name*

Enter your name or name for your team

Team Leader: Add the names of your team members (Each person who participates must fill out their own registration form and purchase a Challenge Kit)

Your Age*

Please enter your age certifying you are 18 or over. Other team members should add their age on their own registration form

Select your shirt size*

Address to ship your B.R.A.V.E. challenge shirt*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What are your overall Challenge goals? Health Challenge Participants (Mandatory): Please identify your specific measurable goals. ( ie. have more energy, sleep better, healthier skin etc)

Let us know why you are participating in the challenge and what your health and fitness goals are!

Your Stats (Note: Not required for Health Challenge participants)
[If you are a team, add up your totals]
Height
Current Weight
Goal Weight

Your Measurements (Optional)
Chest
Arms
Waist
Hips
Legs
Body Fat %
Dress/Pant Size

Example Photos

Take Photo - image of front

Take Photo - image of back

Take Photo - image of side

Take Photo - image of full body

Take Photo - image standing on the scale numbers must be visible

Upload Additional photos

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If you have additional photos, please upload them here

B.R.A.V.E. Challenge Entry Form

Photo Submission