HOLY HABITS 2026 APPLICATION

1

First and last name* This field is required.

2

what is your age? (*at least 18+)* This field is required.

3

Email* This field is required.

example@example.com

4

Send messages to: * This field is required.

Area Code

Phone Number

5

What is your instagram handle? (Ex: @aj_moves__) If no Instagram type "N/A"* This field is required.

6

What is your #1 health goal right now?* This field is required.

Lose fat

Gain muscle

Overall health

Improve my relationship with food

Learn how to lift

7

What is your motivation? Why do you want to hit your desired health goals?* This field is required.

8

Be honest, what do you feel is holding you back from being able to reach your desired health goals? (This helps me better understand your situation and prepare for our call)* This field is required.

9

Holy Habits is a high-touch, year long discipleship and coaching program requiring physical, emotional, and financial commitment. It is NOT a cheap one size fits all program. You will build habits, and gain wisdom on how to steward your health forever, even after training together. Which best describes your personal finances? (Please answer truthfully; this helps us guide you to the best program even if that is not with us - I still want the best for your health and will help you find your next right step!)* This field is required.

I have the financial resources

I have access to financial resources (I can get a loan from affirm for manageable monthly payments)

I do not have financial resources right now

10

Will anyone else (e.g. a spouse, family member, etc.) need to be apart of this conversation in order for you to make a confident decision about moving forward, if we both feel its a good fit?* This field is required.

Nope, I'm the sole decision-maker

Yes, my spouse or other family member, friend, needs to be apart of this conversation

Other

11

How can I pray for you as you take your first steps and start your journey breaking chains with negative health habits?* This field is required.

12

Schedule your call* This field is required.