RISE APPLICATION FORM

Name:* This field is required.

First Name

Last Name

Current Email:* This field is required.(WE DO NOT SPAM)

example@example.com

Cell/Mobile Number:* This field is required.(THIS WILL BE THE PRIMARY FORM OF CONTACT WITH YOU-- ENSURE THIS IS ACCURATE!)

Please enter a valid phone number.

Cell Phone Type:

iPhone

Android

Other

Where do you reside currently (City & State)?* This field is required.

Current age?* This field is required.

Current fitness level?* This field is required.

POOR - MOBILITY ISSUES - CANT WORKOUT

BELOW AVERAGE - DONT WORKOUT

AVERAGE - WORKOUT OCCASSIONALLY

ABOVE AVERAGE - WORKOUT REGULARLY

ELITE - DAILY WORKOUTS

Current relationship status?* This field is required.

Current relationship status?* This field is required.(SINGLE, ENGAGED, MARRIED, DIVORCED, WIDOWED, ETC)

Do you have any children? * This field is required.

YESNO

What is the biggest obstacle/challenge you are facing in your life right now?* This field is required.

If you don't get past this obstacle, what will likely happen?* This field is required.

When you consider your life as a whole and where you are right now; has it turned out the way you wanted?

Yes, 100%

Yes, for the most part

No, not entirely

No, not at all - it's all fucked right now

Do you own a business currently?* This field is required.(*This is not required to attend)

YESNO

Current profession / Business type?* This field is required.(ie. JOB TITLE AND/OR PROFESSION)

Current income level?* This field is required.*If you are below $50,000/yr, consider the online RISE 300 Challenge instead: (www.rise300challenge.com)

Under $50,000 Annually

Under $80,000 Annually

Under $100,000 Annually

Under $125,000 Annually

Under $150,000 Annually

Under $200,000 Annually

Under $500,000 Annually

Greater than $500,000 Annually

Other

Highest education level?* This field is required.

DID NOT GRADUATE HS

GED / HS DIPLOMA

TRADE SCHOOL / ASSOCIATES DEGREE

MILITARY SERVICE/CERTIFICATION, ETC.

BACHELORS DEGREE

MASTERS DEGREE

DOCTORATE

OTHER

Have you attended any leadership training, endurance challenges, men's retreats, military service, etc. in the past?

YESNO

If you answered YES to the last question, briefly tell us about those experiences. (If you answered NO, type NA) * This field is required.(ie. Name of program/Topic/Year Attended, etc)

Have you attended any leadership training, endurance challenges, retreats, or personal growth / development training in the past? (If so, which ones and when?)* This field is required.(IF NONE, TYPE NONE)

Have you been convicted of a felony?* This field is required.(Failure to be truthful regarding this statement will immediately disqualify you from all RISE Events)

YESNO

If you answered YES to the last question, please share the circumstances and crime you were convicted of; * This field is required.(If you answered NO, type "N/A")

Due to the high number of applicants, we are selective when offering the opportunity to attend our events. Why should you be considered for a spot?* This field is required.(This is your shot. It's recommended that you give this answer some effort)

RISE is a 90-Day Transformational Program which includes: 60-day Online Lead-up, 3-Day Live Event & 30-Days of post-event Coaching. Are you ready to go "all-in" on discovering your greatest version?* This field is required.

YESNO

What are you most eager to gain as a result of attending RISE?* This field is required.(YOU MAY CHOOSE MORE THAN ONE)

INSPIRATION & MOTIVATION

UNLOAD GUILT & SHAME

ACCOUNTABILITY & DISCIPLINE

HOPE FOR MYSELF AND MY FUTURE

BROTHERS & BROTHERHOOD

INCREASED BUSINESS & INCOME POTENTIAL

RECONNECT TO GOD/SPIRITUAL CONNECTION, ETC.

DISCONNECT & GET OFF GRID FOR A FEW DAYS

PUSH MYSELF PHYSICALLY & PSYCHOLOGICALLY

IMPROVE MY FITNESS

HIT SELF-DEFINED TARGETS

INCREASE MY CONFIDENCE

INCREASE MY CERTAINTY

IMPROVE MY MARRIAGE

IMPROVE MY RELATIONSHIP WITH MY KIDS

OTHER

How did you find out about RISE?* This field is required.

FACEBOOK / FB AD

GOOGLE SEARCH

INSTAGRAM / IG AD

FAMILY / FRIEND / RELATIVE

RISE GRADUATE

OTHER

After submitting this application, you will be forwarded to another page. Make sure you follow the instructions on that page to continue to be considered for RISE.* This field is required.

I understand & will follow the instructions on the next page.