Battalion Barbell Group Mentorship Application

CONTACT DETAILS
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Instagram Handle
Date of Birth

YearMonthDay
4 digit year, 2 digit month, 2 digit day
Gender

Other
I am interested in signing up for...
TELL US A LITTLE BIT ABOUT YOURSELF
Why are you signing up for the Battalion Barbell group mentorship program and what would you like to achieve out of it?
.
Aside from training, do you have any other interests outside the sport of Powerlifting?
What are your long-term goals? Where do you see yourself in 2 years' time? (athletic, personal, professional)
LAST QUESTIONS
Are you happy to be shared on our social media accounts?
Any other notes/requests?
Place is only secured once payment is received.

Payment Link (Both) https://buy.stripe.com/4gM4gy40vcNh4oq6950480D
Should be Empty:

CONTACT DETAILS