BRAVE Challenge Entry Form

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

We’re so excited that you’ve decided to join the Challenge! Once you sign up, you’ll have access to a 90-day program specifically designed to meet your goal and be tied into an amazing community of people that will motivate, encourage and lift you up every day! Plus, you’ll be entered into a monthly drawing to win exciting prizes and be eligible to become a Semi-Finalist and maybe even Challenge Champion!
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?*

MonthDayYear
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.Format: (000) 000-0000.
Weight LossFitnessHealth
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
XSSMLXL2XL3XL
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
Photo Submission

Please submit a minimum of one (1)"Before" photo with your Entry Form that shows your full body or at a minimum, from head-to-hips. Your entire face must be clearly visible in the photo and must include the date the photo was taken. You may also submit up to four (4) additional photos. Photos must be a minimum of 100 KB in 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

If you have additional photos, please upload them here
Cancelof
Should be Empty:

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

Photo Submission